Question:
I would like to hear from anyone who is covered through BC/BS of AL PPO with

obstructive sleep apnea and BMI less than 40. Were you covered or not. They are trying to give me the run around after my 2nd appeal.    — CINDY D. (posted on June 27, 2003)


June 28, 2003
Hello, I have the same insurance. My bmi was 39.9. I also had co-morbs-insulin resistant,PCOS,arthritis. I also mentioned that Diabetes runs in my extended family, with hip and knee replacement surgeries. Don't know if that last part helped or not. But I told them that my fear was that I would end up 300-400 lbs, looking at being medicated for Diabetes and hip and knee replacement surgery. Hope that this helps you out. Good luck on your journey :-)
   — Paula R.

June 29, 2003
I have BC/BS AL PPO. I had a BMI of 42 and had no problem whatsoever getting approval. My benefits book does say they will approve with a BMI less than 40 if you have co-morbities. BUT, I have to tell you I live in Maryland. Maryland has an "obesity law". I don't think they have much choice but to cover the procedure. It may be different for people living in other states.Sleep Apnea is one of the co-morbidties they have listed.Don't give up.
   — Debbie W.




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