Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
  • Appearance

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

Question for those Borderline BMI......

1 more nutritional visit then my requirements are all done and my paperwork goes off to Insurance! Can you tell I am excited??

I saw someone's youtube video and she was sadly denied by her insurance because her BMI was not over 40 for 3 straight years. Is this the case with most insurance companies?

I fall into the category of borderline BMI (40.3) and no co-morbidities and my BMI has only been at that level since September. Before that, it was below 40 for about 4 yrs prior, then over 40 before that.

It was below during those 4 yrs because I had managed to loose 25lbs and was able to maintain that lost though I could not loose anymore.

Just wondering if its common for insurance companies to deny the surgery if your BMI hasn't been up for a # of yrs.....

  • Replies 2
  • Views 616
  • Created
  • Last Reply

Top Posters In This Topic

Featured Replies

It completely depends on your policy. My own policy wouldn't pay for WLS unless I had a BMI over 40 for five years. I had previously lost 90 pounds "on my own" back in 2010/2011 and my BMI had just barely crept back up over 40 when I decided to pursue WLS in mid 2014. So it was either self-pay or stay fat for 5 more years.... I felt like they were punishing me for having at least TRIED to lose the weight on my own!

Agreed. Every insurance is different. For mine, I had to be over 40 for the past 2 consecutive years. I also did nit have any comorbidities. The drs office did say that if I didn't have that, then they may require me to go and do a sleep study also to see if I had sleep apnea. And if I didn't, then there would have been a good chance it wouldn't have been approved

Sent from my XT1080 using the BariatricPal App

Join the conversation

You can post as a guest; create a free account to track replies, follow topics, and be part of the largest weight loss surgery community.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.