Question:
Has anyone qualified?

Has anyone qualified for surgery who is 5'6" and 230# with a few co-morbs. I am the above info. I have an approval from my insurance (Tricare Prime) for a consult. Just wondering if my chances are good for qualifying with the surgeon and tnen again with the insurance. Have all the diet (med supervised and not)stuff done as prooof af attempts.BMI is 35-36    — Jan S. (posted on October 10, 2002)


October 10, 2002
Hi, J., I was a little heavier than you, but I was 5' 6" and I weighed 258, but I had NO co morbidity problems, the Dr. thought that it might be hard for me to qualify, but mine was a revision from a stomach stapling 17 years ago to a lap rny/ that probably helped me, I was approved with no problem/ hope this helps/ I would think that with co-morbs it would probably work for you/ Patti Meadows e-mail: [email protected]
   — peppermintp

October 10, 2002
Hi J, I just was denied by Tricare Prime ~ I am 5'3" and 258 with no documented co-morbs. To qualify you have to be: 100+ pounds over with co-morbs OR, 200% of your ideal weight ~ since I did not have any documented co-morbs I was denied on that account and since I was 190% of the 200% over my ideal body weight they denied me there as well. Just make sure your doctor documents ANY co-morbs you have.
   — Laurie G.




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