I just found out that my insurance doesn't qualify me for surgery with a bmi over 40, they will only qualify me with bmi over 35 with a co morbidity. I don't know if I have any Comorbitities, I'm pre-diabetic not diabetic, I have migraines and that's about it. My first appointment with the surgeon is the 10th and now I'm worried that I won't qualify. I'm freaking out, I really need this surgery.

I know that sleep apnea, high blood pressure are a couple. Hopefully you will get the answers you want. Good luck with that. Hope things work out for you.

Frenchie what insurance do you have?

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Edited August 6, 201610 yr by MemphisWLS

AARP Medicare complete

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Did you talk with a rep at your insurance? Is it insurance specific or plan/employer exemption? I am looking at the general info on the aarp Medicare plans and they do have the generic lingo, " you may be a candidate if you have a bmi over 40 and have tried other weight loss methods without success.....etc.

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I talked with an insurance rep when I was asking questions about the qualifications filling out a list of questions the surgeons office gave me

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Oh my. I just went to cms.gov to do some research, the rep is right. You hv to have bmi 35 with sleep apnea, hbp, DM etc directly related to obesity. I am sure there might be a way to appeal this, maybe a very strong letter form your doctor?

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