Question about 5 year weight history

I had my consultation yesterday with Dr Moran. I did all the things that I needed to, to prepare for the consultation like having my medical records sent to the office. The only office that I haven’t been able to get my records from yet is a doctor’s office that I went to for 2-3 years when I lived in NH. Unlike every other doctors office, they wouldn’t fax my records over to Dr Moran’s office, they told me that they would have to mail them to me. That was about 2 weeks ago. I’m hoping that I will get them in the mail soon so that I can fax them over myself. Normally I’m sure that it wouldn’t take 2 weeks to get something from NH, but for some reason it’s taking exceptionally long for this.

During my consult with Dr Moran I was talking to him about my weight history. He mentioned that of the records that he had in front of him that I have only been classified as “morbidly obese” since 2005. 2008 will make the 3^rd consecutive year that I have had a BMI over 40%. My insurance company, BCBS, from what I’ve read and been told requires people to be morbidly obese for the past 5 years. I have 3 solid (might as well be 3 years). Please tell me that this counts for something!!! In the past 5 years my BMI has dramatically gone up, I’m talking from like 30/34ish to 44. My family has a history of hbp, diabetes, heart disease (which shockingly enough, I don't have any of those) etc. Dr Moran said that he would submit all this information to the insurance company with the hopes that they would approve me. I was just wondering if anyone else has been in this situation, and what the outcome was...or what you were told that you had to do before you have/had you got your approval. Have you had a BMI of 40+ for the past 5 years, or was your weight/BMI increased over a few years? Dr Moran told me what my ideal target weight was....as shocked (and sort of depressed) as I was, I was even more shocked to hear him say that I am 148 pounds over my ideal weight!! This has to count for something!

 

Hey Sweetie -

Try xposting this to the main forum, the rny forum and the insurance forum. You may get some extra exposure there that would help answer your question.

Wishing you all the best,

Barb

Thanks! I have already posed it in the other forums! Hope you have a good Turkey day!

Great! Please do stay in touch and let us know what happens.

Have a lovely holiday.

Barb

I do know BCNS will accept the 3 years if you have 2 or more Co-morbitities. Sad to say a friend of mine experienced trouble getting approved being considered obese for only 3. She later was approved after an appeal with the insurance.

Hi BCBSNC requires that you must be morkidly obese for 4 out of the previous 5 years.  Go to their website and type in morbid obesity and there you can read about  what you need for approval.  Tammy