Jump to content
×
Are you looking for the BariatricPal Store? Go now!

BMI 35 WITH COMOBIDITYS



Recommended Posts

Hello,

Has anyone tried for the sleeve surgery with a BMI of 35 with comorbidities. I had the lapband placed in 2010 and did great , in 2017 started having problems with it and had to have it removed. I tried for a year to keep the weight off , but it has creeped back up . Know I am 35 bmi and tring to get approved thru my insurance. I have High BP and was test recently for sleep apnea. If I have one I would be able to proceed on with this journey , If not I will have to do this journey with out any kind of tool. IT may sound crazy but if I had a mild sleep apnea I would be ok with that , because I figure once I lost weight it would go away . I really need to qualify for this surgery.

When I had the lapband I went from 226 start weight , surgery day 216 and final weight was lowest 140 but maintained at 155-158.

So now I am 190 and trying for the sleeve , tried when the band was removed but was told my bmi was to low and that only because I had the band as a tool, with out it , it has been a struggle So now I had a sleep study done yesterday, and they say it take 2 - 3 weeks for the results, if it comes back in my favor , I can start the process with the surgeons office once my Dr. sends in the paperwork.

But when I look on the web site for my insurance it says you only have to have 1 comorbidity, when I call the insurance they can't give me an answer , so I mad an appointment by phone with one of the Bariatric Dr. with my insurance to find out, they are up in Denver so if he says one then I will get my doc to submit to them and I would go to Denver , But the surgeon in the Springs says 2 comorbidity I think they try to play it safe by saying 2 comorbidity but we will see. So is there anyone else out there in this situation??

Share this post


Link to post
Share on other sites

it depends on what insurance you have. i have aetna, and it only requires 1 co-morbidity with a 35 BMI

Share this post


Link to post
Share on other sites

That's what my insurance says online but the contracted surgeons office says 2. I have an phone appointment with a Kaiser Dr. To find out because when I call Kaiser representative they dont know the answer. I have high BP on medication

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 2 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

    • jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 0 replies
      1. This update has no replies.
    • Clueless_girl

      Having gall bladder surgery in a few days and I so hope the recovery is easier than the one from the modified DS! I could use a bit of luck/pep talk for a change. I'm starting to be able to walk around without experiencing dizziness, but it would be great if the random pain in my chest and abdomen would go away!!
      · 0 replies
      1. This update has no replies.
    • Dawn 1974

      4/4/2024 - new patient orientation. Wt 313
      4/5/2024 - got all my lab work done.
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×