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Low BMI Insurance approval??

sleevemebaby7781

By sleevemebaby7781, in Insurance & Financing

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sleevemebaby7781    36

sleevemebaby7781
Posted

I was wondering what everyone's Experience is with Insurance approval if they have a lower BMI (BETWEEN 35 and 38) with no co-morbidities. At At 1st I just assumed that I was going to have to be a self pay client, but after a little more research, saw that maybe I could get insurance cover it. I currently have Florida Blue. anyone have any experience with this?

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Shelbel    7

Shelbel
Posted

I have bcbs federal. My BMI is 35.8. They’ve denied me even though I have the 2 comorbidities they require. They stated my comorbidities were unqualifying because they could be controlled. I’m going to appeal and see where that gets me.

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BGrundee    61

BGrundee
Posted

I have Aetna and got denied twice. I have a 39.51 BMI which right on the fence and still got denied as I wasn't at 40 BMI, even with hypertension. I took a sleep study test, which showed I had obstructive sleep apnea. Once I had been diagnosed with OSA, I got an approval. I suggest asking your PCP for a sleep study test to see if you have OSA. If you have it, your BMI can be at 35

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GassyGurl    428

GassyGurl
Posted

I have bcbs federal. My BMI is 35.8. They’ve denied me even though I have the 2 comorbidities they require. They stated my comorbidities were unqualifying because they could be controlled. I’m going to appeal and see where that gets me.

I was in a similar boat but wasn't patient enough to stick with it. I did self pay. I hope you prevail! Look up Lindstrom obesity advocates. They work on appeals.

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HealthierGirlLife2018    8

HealthierGirlLife2018
Posted

My BMI was 38, I had sleep apnea and a heart condition and was denied. I ended up doing self pay and it wasn't bad with my self pay everything was covered and even 4 days in the hospital were but I was only in for 2 days. So all depends on your insurance and how your providers documentation supports the medical necessity of why getting the surgery is needed.

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Go To Topic Listing Insurance & Financing

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      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
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      1. summerseeker

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        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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