is this enough to qualify me??
Depends upon your insurance coverage.
"Oderint Dum Metuant" Discover the joys of the Five Day Meat Test!
Height: 5'-7" HW: 449 SW: 392 GW: 179 CW: 220
Hypothyroidism occurs regardless of obesity. I don't know that it would have the same weight as sleep apnea or diabetes. You need to call your insurance company and/or a bariatric surgeon's office to ask.
I follow a ketogenic diet post-op. I also have a diagnosis of binge eating disorder. Feel free to ask me about either!
It is not that we have so little time but that we lose so much...the life we receive is not short but we make it so; we are not ill provided but use what we have wastefully. -- Seneca, On the Shortness of Life
You need to call the number on the back of your insurance card and ask.
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
Each business employer gets to pick and choose what things they'll cover some will cover based on what you have. Most that do cover it will ask for things like you used for examples. Of course you'll have to prove it and go to the doc and show some history and so on. However some employers do not choose to cover WLS under insurance. Best way to know is to call and or see if any of your co-workers have had theirs covered. I didn't even think about my company covering it, until a work friend told me his was covered the year before.
Age:40|Height: 5'9"|Lap Band 2/11/08 |Revision VSG 3/14/16
The cake is a lie, but Starbucks is not.
I agree with Mo, it depends on the insurance policy guidelines. United Healthcare does cover WLS, but you would need to see what is required to qualify. Is it BMI over 40 alone or must you have one co-morbid.
If you have a policy handbook, it will be in there. If not, give them a call and ask them what guidelines do you need to meet to qualify. You are looking for the above info (BMI and a co morbid or just BMI alone), not all the other guidelines, like nutritional consult, psy eval, etc.
Good luck!
~Nik
I have UHC (private plan with employer). It was covered with BMI over 40 OR BMI over 35 with co-morbidities (like high blood pressure, sleep apnea, etc). They also required a 6 month supervised weight loss period (they told me that this was specific to my company).
Liz 5'3" HW: 219 SW: 185 GW: 125 LW: 113 Desired maintenance range: 120-125 CW: 119ish
It really does not matter what insurance you have, it is based on your employer, you can have UHC and your employer must choose to cover WLS, but someone else who has UHC their WLS may not be covered as the employer chooses to exclude. So it really depends on whether your employer chose to cover this surgery.
