Co-morbities......what if you don't have them?
Hi Everyone.....My file just went into my insurance company today and my surgeon's nurse is afraid I don't have enough paperwork for them to approve surgery. They say they will cover surgery if medically necessary. I have a BMI of 42.9 and am over 100 lbs overweight. Has anyone had problems not have enough co-morbidities??
Hi Debra: BCBS and most insurance companies will authorize surgery with out comorbidities if you are 40 plus on the BMI. I am just under and at 39 BMI and have the comorbidities and doctor recommendation, but under 40 BMI requires you have been on a supervised weight loss program for 12 consecutive months. For those of us that are so overweight, who stays on a diet for 12 consecutive months when we are fighting a loosing battle? I am thinking about eating enough to get to the 40 BMI which is only about 5 pounds and then I won't need the documentation. It is a never ending battle! Good luck. Let me know how it goes. You can email me at [email protected]