BMI

Cappy1164
on 9/12/07 2:30 am
I am considering Gastric Bypass surgery and I was wondering if anyone knows if the BMI accepted by most insurances is 40 or do I stand a chance of approval with a BMI of 34.  I know all insurances are different.  I am 5' 9" so my BMI is lower for that reason. thanks.
sallyone
on 9/12/07 4:03 am - DIberville, MS
I think my insurance (BC/BS) was 40 with no co-morbities and 35 with atleast 2 co-morbities.

      

Cappy1164
on 9/12/07 11:55 pm
Thanks for all of the input.  I wonder if insurance companies have ever figured out how much $ they would save in the long run providing WLS.  A couple of stays in the hospital for out of control Diabetes or HTN would easily meet or exceed the cost  of  WLS.   What a shame. 
Mary_W
on 9/12/07 11:18 am - Brandon, MS
Insurance companies make their own rules.  I had WLS twice--both times my BMI was about 45.  My insurance wouldn't pay anything.  had that wonderful exclusion clause. Now, though, I'm pleased to report my BMI is 25.8 (dammit, i'm still considered overweight...argh.. sorry, just computed that and didn't realize that.  i thought surely i was normal by now!)  But this is surely better than being morbidly obese.  I will stop now to save a rant on insurance companies and the money that they'd save by supporting WLS as all the other problems would disappear (for me the short list of problems that resolved:  sleep apnea, infertility, blood pressure, shortness of breath, leg/knee pain).  good luck with trying to get them to pay!  hope it works! mary



Most Active
×