insurance

patti_jo
on 2/1/08 11:01 pm - pawtucket, RI

good morning , i just called my ins. and they said even if you are more than 30 bmi overweight which i am like63 bmi overweight you still have to have a medical problem . what i was wondering does anyone know if you have problems with your knees because of your weight if that would count i asked them and all they keep saying was that if you have diabites or hypertension than you would be approved so i dont know . if you could please give me some info. i would be appriciated    thank you    PATTIJO

 

Dawn McLaughlin
on 2/2/08 12:48 am - Norh Providence, RI
I'm sorry. Could you please tell us what Insurance Company you have?

Medical Standard: As issued by the National Institute of Health

40+ BMI (No Medical Condition)
35+ BMI (With Medical Condition)

Here, read this. This is from the National Institute of Health and I will even give you the link t copy and paste in your browser.

Why the Procedure is Performed    Return to top

Gastric bypass surgery may be an option if you are significantly obese and have tried unsuccessfully to lose weight on diet and exercise programs and are unlikely to lose weight successfully with non-surgical methods.

Gastric bypass surgery is not a "quick fix" for obesity. The surgery can take several hours and has risks and possible complications. For example, vomiting following the surgery is not uncommon because of eating more than the new, small stomach can accommodate.

Your commitment to diet and exercise must be very strong because even after the surgery, you must adhere to these lifestyle changes. Otherwise, complications from the surgery are likely to develop.

The procedure may be considered for obese individuals who have:

  • A Body Mass Index (BMI) of 40 or more. BMI is a calculation based on height and weight that is used to determine whether you are of normal weight or are overweight. Someone with a BMI of 40 or more is at least 100 pounds over their recommended weight. A normal BMI is between 18.5 and 25.
  • A BMI of 35 or more along with a life-threatening illness that can be made better with weight loss, such as sleep apnea, type 2 diabetes, and heart disease.

http://www.nlm.nih.gov/medlineplus/ency/article/007199.htm

Hope this helps. Now, if you ask me to guess who your Insurance is... I would have to say United Health.


~Dawn
patti_jo
on 2/2/08 3:37 am - pawtucket, RI
hi dawn , i have medicade and medicare through ssiand ssdi  thank you for the time you took to answer my question
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