PCOS and WLS???

autumnM.80
on 6/9/12 7:19 am - Johnson City , NY
Did everyone have other co-morbidities along with PCOS to qualify for WLS?  When I started looking in to WLS I seen alot of woman say they also had PCOS. I thought that was a plus but when I seen my surgeon he said that PCOS was not a qualifier??? I also read one of the top treatments for PCOS is WLS? Anyone have any info
kam0520
on 6/11/12 2:53 am - AL
PCOS isn't a co-morbidity.  A co-morbidity is something that untreated, will result in death.

I have PCOS, I has WLS 4 and 1/2 months ago.  It has made my periods unbearable.  The hormones go insane after a drastic weight loss.  
www.kasleeved.com the (almost) daily journey after VSG

    
Eat to live, don't live to eat.
Adrianne_Dawn
on 6/12/12 7:41 am - WA
RNY on 05/21/12
 PCOS wasn't a "qualifier" for my insurance but I'm sure it played a factor into my approval since there is no "official cure or pill you can take" WLS seems to be the fix that helps.  I had Sleep Apnea that I had been diagnosed with previously. 

 

All criteria listed below must be met:

1. Be between the ages of 21 to 64 for coverage of Roux-en-Y surgery and between the ages of 18 to 64 for laparoscopic adjustable gastric banding surgery. Members covered by Medicare should check with Medicare for coverage.

2. Have not had any type of bariatric surgery within the last 10 years.

3. Be morbidly obese with a body mass index (BMI) of 40 or greater.

4. Be diagnosed with one of the following diseases: diabetes, hypertension, high cholesterol (hyperlipidemia or dyslipidemia), sleep apnea, Pickwickian syndrome or Pseudotumor Cerebri.

5. Have evidence of previously failed attempts at losing weight.

6. Have a psychological evaluation that indicates a strong readiness for change and absence of mental disorders that could impact the success of the surgery.

7. Work with a case manager during the entire process and comply with all requirements before surgery and for two years after surgery.

8. Enroll in and pay for the Accomplish program, and lose 5 percent of your verified program entrance weight within six months of acceptance to the bariatric surgery program.

9. Not have medical conditions that would increase the risk of surgical mortality (death) or morbidity (complications) including but not limited to the following conditions: unstable coronary artery disease, severe pulmonary disease, portal hypertension with gastric or intestinal varices, or other conditions thought to seriously compromise anesthesia or wound healing.

 

    

NewtoYou
on 7/15/12 12:54 am
VSG on 09/10/12
PCOS unfortunately isn't a qualifier... but if you get diagnosed with  Insuline resistence and are taking metformin, you can put down diabetic with treatment.   It depends on your diagnosis and treatment plan; be sure to talk to your doctor about it. 

Also, ensure you call your insurance company and ask them specifically what the criteria is, each ins company is different.  Mine only required BMI of 40 and up OR 35+ with co-morbidity.  
I qualified with the bmi alone.
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