BMI Below 35 - 5 year Weight History
My insurance company required I be "obese" for 5 years also. I relied on my pcp for that info, and had a VERY scetchy history of going to said pcp. I simply didn't go very often And once, about 3 years ago I refused to get on the scale!( I was there for a coldsore of all things.). I think she RELIED on my graph I gave her which spanned 25+ years. there were many "mountains" of weight gain/loss on it with a steadily climbing trend. I am confident that graph made her job very easy to writing her approval to my surgeon/ins. co. If you can highlight your diets that were monitored (ex; WW or L.A. Weightloss....) it helps and I didn't have to do the 6 month supervised diet. Possibly because I was able to show with the graph several organized attemts as well as the "on my own" ones... Hope this helps.
My ins. co only required self documentation...I was obese those yrs, but not always morbidly obese for those 5 yrs I had to document. I documented all the times I went to WW, etc. And I made it look worse than it was. If I had had to rely on PCP for numbers I would have been up the creek, because I just didn't go to him/her very often. Good luck.
Jane
Jane
My insurance required a 5 year documented history of a BMI of 40 and above- that is the generally accepted level for insurance to pay (40). My advice: call your insurance company and find out what their *exact* requirements are. Then call back & call bac****il you get the same answer twice.
If your insurance company has the same requirements that mine did- I had UHC- they will not accept anything other than a doctor's documentation of your weight. That means that those handy little print outs you get from expensive weight loss programs won't cut it. Also a doctor's note saying this is a medically necessary procedure won't do it either. See what you can do about getting the notes from ANY visit you've had since 2007, even if you went for a sore throat, and talk the nurses into adding your weight (that you give them) onto the notes. Get it all together & then give it to your surgeon's office.
Worked for me.
If your insurance company has the same requirements that mine did- I had UHC- they will not accept anything other than a doctor's documentation of your weight. That means that those handy little print outs you get from expensive weight loss programs won't cut it. Also a doctor's note saying this is a medically necessary procedure won't do it either. See what you can do about getting the notes from ANY visit you've had since 2007, even if you went for a sore throat, and talk the nurses into adding your weight (that you give them) onto the notes. Get it all together & then give it to your surgeon's office.
Worked for me.