Re: DS not allowed for BMI < 50????

[Guest guest]

Re-measure your height and lose at least an inch. And, eat and

drink. In fact, eat a salty mean and load up on water just before

your weigh-in. You might just make it.

--Steve

At 3:36 AM +0000 10/18/01, melkev@... wrote:

>I have been going round and round with my insurance. Now they are

>saying that they will only approve the DS for people with a BMI over

>50. I have a 46 or so. ... What should I do?

>Thanks,

--

[Guest guest]

,

Where do you live? I'm in NC and considering switching from Cigna to United

Healthcare POS if Cigna denies my appeal. In talking with Unithed

Healthcare, I was NOT told that there were BMI restrictions as to which

surgery they would approve one for. I was told that you had to be 100 lbs

overweight, had to be medically necessary to correct comorbids, and that the

BPD/DS was a covered procedure. I'm somewhat confused now. What is the

April date for removal all about?

Thanks for any info you have,

Donna

>From: melkev@...

>Reply-To: duodenalswitch

>To: duodenalswitch

>Subject: DS not allowed for BMI < 50????

>Date: Thu, 18 Oct 2001 03:36:59 -0000

>

>I have been going round and round with my insurance. Now they are

>saying that they will only approve the DS for people with a BMI over

>50. I have a 46 or so. My benefit page says that m.o. is covered if

>medically necessary. The Rny is covered with BMI of 40. It seems to

>me they are just pulling excuses of from nowhere to try and stall

>until April when they remove the benefit from all plans - statewide.

>(United Healthcare) When I asked where in my policy it stated the DS

>was reserved for people with a BMI >50, they said no where, it is

>just an administrative thing. What should I do?

>Thanks,

>

>

>

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