Weigh In Question

[Tracyde730 7]

I have a question...my paperwork is with the insurance company as I write this, so I'm hoping for a quick and easy approval. My question is...I just made the BMI with 35.2 and 2 co-morbidities. If I get approved and lose a bit of weight and fall under a 35 BMI at surgery, can they then not pay or deny me?

[Coachthex32 166]

I had sleep apnea and high blood pressure. I was right on the edge of not qualifying eith my BMI and had to maintain (even gain a few pounds) during my 6 month required insurance class. Once I had my approval letter, I was able to start my pre-op liquid diet and start losing prior to surgery.

[waltsgirly1 28]

Once you are approved, you are approved. I am also under the BMI with comorbidies and getting a revision from band to sleeve on Feb 8. If they deny you have the surgeon do a peer to peer, that's what I did and I got approved right away.

[ladonnaf 0]

What is a peer to peer?

Sent from my SAMSUNG-SM-T377A using the BariatricPal App

[waltsgirly1 28]

A dr with the insurance company and your surgeon go over your case.

Sent from my SM-G935P using the BariatricPal App

[hermione53 157]

Hi there, my BMI was just under what was required (no comorbidities). I asked, should I gain weight to meet the criteria? They couldn't really tell me yes. I gained the weight anyway. When I got to that weight I asked your question bc my band removal and sleeve surgery were going to be two months apart. I was told no, I wouldn't be denied if I lost weight. It was that the number was documented that counts. I was told, however, that I could be denied for gaining a lot of weight. I'm not so sure that that's true. I gained 6 more pounds in those 2 months. Good luck to you!

Sent from my iPhone using the BariatricPal App

[lmascato 20]

My bmi was 35.4 I was approved and day of surgery bmi was 33!

Sent from my SM-N920V using the BariatricPal App