bmi history!!!

smylie1 · November 6, 2007

OK, I have been on this yo-yo for years! I have had a bmi over 40 then lose a little weight and it would go down, only to gain it back months later. I have done the pills/shots/ combo., Nutrisystem, Atkins, Phentermine, Merida, and Xenical, but I don't have 5 consecutive years worth of 40+ documentation! I am now at a 42 BMI.

Here's my question. I have been diagnosed with HBP. I have fascitis in my feet and cannot walk for exercise without agrrovating it, and I'm pretty sure I have sleep apenea, though I've not been diagnosed. Do you think my insurance will approve without the documented history of a 40 BMI?

kagoscuba · November 6, 2007

It depends really. I was denied by Horizon with two diagnosed co-morbidities: HBP and sleep Apnea. I submitted everything anyway, and so far they've paid for my first fill, 40% of the anesthesia bill, and my doctor fee and hospital bill are pending.

Flowerpurr · November 6, 2007

I have the same problem with the history. I have about 8years worth but I am missing one year to complete a full five. I to can't exercise because of my foot. All I can tell you is if you have pictures with dates on them you can use those. Otherwise submit what you do have and pray really hard!

destiny79 · November 6, 2007

I am having almost the same problem I have records from 2002-2005 missing 2006 but have 2007 so my Dr. office told me to write a letter explaining why I don't have 2006 so far I have not heard anything yet I have UHC insurance. I called them they said they're trying to make sure you did not gain the weight in 1 year just to get the lapband so any five years is OK it can be split up but I'll let you guys know what happens:kiss2:

Flowerpurr · November 7, 2007

Tomecia that is great news!!! I was worried. I have records from when I was 21 and was really big. Bigger than than I am now! But you just gave me lots of hope!!! Thank you!

Motocrossgirly · November 7, 2007

Hi, I have essentially a very similar history & I submitted to United Health Care POS and I was approved! I haven't set my surgery date, but will do that on Friday 11-9-07! YEAH!

destiny79 · November 7, 2007

motocross how long sis it take for you to get your approval ? I have uhc choice plus, my info was submitted yesterday

Motocrossgirly · November 7, 2007

Hi,

It was 10 days from submission to approval, another 7 days to actually receive the letter in the mail.

:-)

antsmith101 · November 7, 2007

Motocrossgirly did you also write a letter stating that you missing certain year? and if you did can you provide a sample letter?

thanks

destynee990 · November 7, 2007

Wow! I have UHC too and I was told that they are the "easiest" to approve!! I have also had weight issues for at least 5 years but never got to a BMI which was high enough to qualify for surgery! The nurse in charge of submitting the request for approval told me that if my BMI changed to come back in. I am guessing that was her way of saying gain some, SO now I am 10lbs from a 40 BMI sched, for my Psyc eval. on the 19th!! that would suck to do all this and have them say No because I "SUDDENLY" shot up to a 40BMI! Please let me know what happens!

Motocrossgirly · November 8, 2007

Hi, I never wrote a letter explaining the missing year (it was related to a move from CA to GA); but, instead I provided an additional previous year, ex.. instead of 2002 through 2007 I did 2001, 2002, 2003, skip 2004, 2005, 2006, 2007.