Proof of BMI at or above 40 for 5 years?
I know each insurance company is different but is it a standard to prove BMI at or above 40 for 5 years? My weight has gone up and down so not always a BMI of 40.
Also, I have a sleep test coming up (my PCP recommend it due to snoring) but I really don't think I have sleep apnea. If go through with the sleep study and am found not to have it could that hurt my chance of being approved? I do not have high blood pressure or diabetes.
Mostly what documents I have are Dr. weigh ins and a high BMI. Am I still a candidate?
Actually, no, these are nothing alike.
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
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No such requirement, someone is giving you bad info. It would be like saying you have to prove you've had cancer for at least five years before you can get treatment.
this is incorrect info you are giving. Many insurance companies have this requirement. They can require anything they like before coverage.
No such requirement, someone is giving you bad info. It would be like saying you have to prove you've had cancer for at least five years before you can get treatment.
Sorry, you are incorrect. It all depends on the person's policy. My husband and sister both had similar requirements with 2 different ins companies.
Open RNY May 7
260/155/140
Most insurance companies that have this requirement will not take your word for it. And they will not accept a summary letter from your doctor. They want the actual medical records. And no doctor is going to falsify a medical record just to help you qualify.
6'3" tall, male.
Highest weight was 475. RNY on 08/21/12. Current weight: 198.
M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.
Yes, it WOULD be ridiculous to expect a formal weight history for the sole purpose of WLS approval.
It would NOT be ridiculous to hope that someone had been in for a checkup, blood work, sinus infection, or other random medical complaint (with accompanying weigh-in as standard visit procedure) each year.
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
