Question:
Has anybody been denied for surgery for not being sick enough?

   — kisha (posted on March 8, 2006)


March 8, 2006
I guess I don't understand- "sick enough"??? Do you mean none, or no or not enough co-morbitites? Or just not a high enough BMI? Can you qulify your question? What did your surgeon say, has the insurance company denied your surgery request for lack of BMI and or co-Morbids? Cindi-219#
   — DollyDoodles

March 8, 2006
Takisha, I went to your profile to see what you meant by sick enough, all insurance companies and surgeons have qualifications for this surgery, I didn't see any info on your profile, what is your BMI? what co-morb. do you have? How long have you been morbity obese? All of these play a factor into the surgery, it is alife changing decision that requires alot of work on our part in order to be successful, it is only a tool. If you give us some more info someone can probably help you. But just for generalization most Dr. and Insurance co. require a BMI of 35 or more with 2 co-morib. or a BMI of over 40 without co-morbids. Again that is just general. Best of Luck. Jen
   — jlflbf

March 9, 2006
If you don't meet the established criteria you won't be approved for surgery, or even considered. Your profile doesn't really explain your situation.
   — goldroses

March 12, 2006
I had a Bmi of exactly 40, which probably wasnt true because I still had muscle from when I used to work out. I weighed 292 Ilbs, maybe a light weight to some since I am a guy. I have lost the weight to always put it back on. I can tell you other than mid to high cholesterol, I had no medical problems. I did my surgery as a preventive solution, and my insurance company approved me the first time around "Oxford"
   — MikeL




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