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So disappointed :(

So my insurance wants me either heavier (BMI 40) or to have very SPECIFIC comorbidities (which I don't have). My BMI is 38.8 but I don't have diabetes or heart disease. My best bet is to pay cash - $13,100. Yeah, I don't just have that kind of cash available.

I'm so disappointed. I started to really wrap my mind around the changes you have to make beforehand, the changes afterward, and now I feel so let down. Stupid insurance. Don't they realize I'm gonna cost them more in the long run if I stay this big or get bigger!!!?

Anyway... I wish everyone else the absolute best. Maybe I'll continue to watch everyone so I can send positive thoughts your way.

Sent from my iPhone using the BariatricPal App

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  • Icantbelieveit
    Icantbelieveit

    How many pounds would it be to gwt to 40bmi? I would have food funeral now and then I'd wear the heaviest clothes with rolls of quarters stuffed in my bra and pockets. Nope, not kidding. Sent

  • if your like me it doesn't take that much to gain 7 lbs I can look at a brownie and gain 10 lbs! Sent from my SM-N910V using the BariatricPal App

  • Leather'nLace
    Leather'nLace

    I vote for ankle weights, a heavy lunch right before your appointment and bend your knees ever so slightly to make yourself a bit shorter. Sent from my iPhone using the BariatricPal App

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Aetna. It sucks because I realized I wasn't really that far below the weight I need to be for them to cover it, but I can't bring myself to gain and hold there just for the surgery. I'm slowly losing just by watching my carbs - from 230 down to 223 - but obviously I'm not gonna get the results on my own that people are getting with this amazing surgery... SIGH... My doctor actually said it might be worth trying to fight them and get a waiver because I might not have their SPECIFIC comorbidities they want to see, but I DO have other issues aggravated by obesity. I'll see her again soon. We'll see what she says.

Write a letter to the insurance company explaining how your weight effects your health and quality of life. Explain all the diets you have been on as well as how you need to stay healthy for your children. I did that years ago for a breast reduction that my dr assured me would be denied and I was approved. I really wrote from the heart and did throw in how much money I had saved over the years by not going to the dr for my back aches, shoulder aches because I knew the cause and just took Tylenol and suffered. It can't hurt your cause.

Sent from my iPhone using the BariatricPal App

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