Question:
my bmi is 37 my comorbids are, high cholestrol, high blood pressure,depression, sleep
apnea, I have healthpartners. do you think i will be approved? — Tammi B. (posted on April 17, 2007)
April 17, 2007
Mine was 39.9 with only depression listed-- I was approved-- Good Luck-
depends on your insurance company. Jackie
— Jackie W.
April 17, 2007
It depends upon your insurance company and the group coverage that your
employer has chosen for coverage. You have the BMI and co-morbidities, do
you have documented trials of weight loss, as you will need these as well.
You will probably be approved, but it all remains to be seen. Either check
out or buy the book... The doctor's guide to weight loss surgery by Louis
Flancbaum, MD... it has a great chapter on paying for weight loss surgery,
including sample support letters from PCP and surgeons, appeal letters and
attorneys to help get benefits, etc.
— Kari_K
April 18, 2007
Tammi you pose a good question, but don't ask it here, ask your insurance
company. Insurance companies all have their own rules, and even if they
cover wls, if your company did not elect to have that coverage, it won't
help you. Check with the source and get the straight story. You can also
appeal if you need to to prove your case, but please keep in mind that
depression can play against you not for you for wls. Be sure that is under
control and don't emphasize it, it could work against you. Please be sure
you are getting the counseling and guidance to help you with depression.
It is a very real thing, but again, if you have wls, it can play against
you if you are not careful. Depressed men and women who have had wls have
sometimes gotten more depressed, which is why it is more difficult to
obtain approval. If you are not getting counseling for your personal
issues, please consider it. Life is way to short to not enjoy what God
gives so freely. Take care Tammi, and I wish you well. Patricia P.
— Patricia P
April 18, 2007
It is very possible, my BMI was 38 and I had the lapband in already, which
made me sick all the time, my insurance company approved my switch to the
bypass pretty quickly. Of course the best way is to call frequently i
beleive, it worked for me and I have no co-morbities at all, it will
happen, best of luck to you.
— noboat4u
Click Here to Return