UMR insurance, approval!!

Lori54555
on 3/18/12 12:55 pm - Phillips, WI
Got approved by UMR insurance, exactly 2 months after my 6-month preop appointments with dietary and physical therapy. Originally I was told that if I didn't have a BMI of 40, it would be a tough approval. (I had a BMI of 38.5). They said that if I had a BMI of 35 to 39.9 with a medical comorbidity they would cover it. After going through the 6 months of noncovered very expensive dietician and physical therapy visits, they called my surgeon to tell me that they would not use GERD (my only medical comorbidity) as a reason. Really?? Like they couldn't tell me that before I spent thousands of dollars on preop appointments? Well anyways, in the meantime I was put on a medication that caused a little bit of weight gain, just enough to get me to 40 BMI (7 pounds). I came in at 40.2, so they approved me within 2 days after that appointment. Never in my life have I ever been happy that I gained weight! So, those of you who are on the border for qualifying, DON'T GIVE UP! My surgery is scheduled for 4/11. and by the way, I was told it is pretty difficult to get WLS approved by UMR if you don't have a ton of obesity-related issues.
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