Comorbidities and BMI
Slowly, I'm making some progress! Some may remember I was having trouble proving my weight for the last 2 years as required by Aetna. Well, I received my records from a pre-employment physical I did back in 2001 and it had me right at BMI of 35.0. JACKPOT! They have my height wrong on it, 5 foot 4 instead of my actual height of 5 foot 3, but I figure as long as my surgeon's office measures me and verifies my height - no problem. As added touch, the doctor herself only wrote two words on the form...the word "obese" twice under "general appearance."
My question is...if my BMI is now 40 do I still have to prove co-morbidities since my previous weights are below 40? Any opinions/experience?
I went ahead sent my info to the surgeon's office to get a consultation over a week ago. Haven't heard back yet. I'm sure they would know but until then I'd like to hear what you think.
Thanks,
Kathy
My question is...if my BMI is now 40 do I still have to prove co-morbidities since my previous weights are below 40? Any opinions/experience?
I went ahead sent my info to the surgeon's office to get a consultation over a week ago. Haven't heard back yet. I'm sure they would know but until then I'd like to hear what you think.
Thanks,
Kathy
I cant say for Aetna because I have United Health Care, however I had a similar situation. I had a BMI of 35-39.9 for the past 4 years, but was only diagnosed with a co-morbid 2 years ago. My Dr's office insurance coordinater was sure I would be denied because of this. And I was getting prepared to fight it, however yesterday I got my approval on the first request. I am so excited!
I hope this will bring you some encouragement Good Luck!
I hope this will bring you some encouragement Good Luck!