I'm confused... I have BCBS Federal Basic. One of the requirements is that you have a bmi of 35-39 with comorbity or 40+, u also have to have a history of obesity for the last 2 years. My question is does the bmi have to be over 40 those last 2 years or at least 35. In 2014 and 2015 I have bmi at 35 and 36.

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It really isn't cut and dry. They are going to look over many things. I have Federal BCBS also. I provided the following and was approved within a day of them receiving the request.

1. BMI over 40

• provided PCP Weights doctor notes showing numerous in office weigh loss program with my BMI over 40

2. BMI over 35 with co-morbitalities

• sleep Apnea diagnoses provided

3. Three year history of high BMI

• provided PCP notes showing numerous in office visits with BMI 37 - 40 BMI
• on a separate attachment provided 7 year weight history, I have a history of all my PCP weights, up and down, up and down, since 2008. On my PCP letterhead he gave to me.notated dates

4. Three consecutive month diet history within the year leading up to the request

5. Psych Evaluation

6. Nutrition Class

Edited July 1, 201610 yr by trekker954