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Is pre-diabetic considered comorbidity for sleeve surgery?

I have Aetna, a BMI of 41 and am pre-diabetic. April will be my last weigh in under supervised plan and then everything gets submitted for approval. I am so nervous. I need this approved so bad.

By pre-diabetic - I don't meet the A1C blood work tests to show full true diabetes. I have taken metaphormin meds and an under primary care physician's care for pre-diabetes, depression, anxiety.

Thoughts and feedback appreciated.

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Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away.

  • Author

Thank you

Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away.

Hi..what kind of insurance do you have?

Sent from my SAMSUNG-SM-N900A using the BariatricPal App

Yes it is...I have PCOS and insulin resistance ...bordering ...pre diabetes is a comorbidity.

After my surgery I was able to discontinue metformin.

Yes.

I portrayed myself as stable and positive but under it all I was on a verge of a nervous breakdown....my weight was taking a toll....

My psych was very good...she had WLS.

I just had my first visit with the nutritionist and the surgeon, do the doctor office communicate well and help to get things done. Did it take long for your approval?

Sent from my SAMSUNG-SM-N900A using the BariatricPal App

Then I have been stressing about having to pay the 20 percent and the deductible at the same time, it's so stressful.

Sent from my SAMSUNG-SM-N900A using the BariatricPal App

Not really...about 3 weeks...Some people get approval much sooner though.

  • Author

I have Aetna.

Most insurance doesn't require a co morbidity if you are over 40bmi. I didn't have any. No sleep apnea, no diabetes, no high blood pressure, nothing. All I had was the super high BMI and they approved me right away.

Hi..what kind of insurance do you have?

Sent from my SAMSUNG-SM-N900A using the BariatricPal App

I have Aetna and from the time it was submitted to approval was about 3 days in total. Just keep calling them to check on the status. It seems to hurry it along.

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