Insurance ONLY considers pds. and NOT BMI.....
My insurance is Boeing BC/BS PPO. I have been just under 100lbs. overweight for several yrs. and just over for 3 yrs. I have to show being over 100 lbs. for 5 yrs., nonconsecutive. I have several comorbidities but they won't budge to approve my surgery. My surgeon has appealed to them but no luck. My surgeon says that in all the yrs. of doing this surgery, they have Never heard of a company not considering BMI. My health is deteriorating and I need this surgery. Any suggestions or ideas? Has anyone heard of a company doing this? I'd like to also know how anyone with similar weight (at or over 100lbs.) has dealt with this issue. Thanks!
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