Question:
What can I do just denied by magna care BMI 27 WT 213 and sleep acnea

I got all pre op test ., I had Spine surgery had to put some metal and screws. excess weight is killing my back.    — frunas35 (posted on August 18, 2011)


August 18, 2011
Usually, most insurance companies require a Bmi of 40 or greater with at least two comorbidities - like sleep apnea, diabetes, hypertensive, etc. Call your insurance com
   — taow95

August 18, 2011
Usually, most insurance companies require a Bmi of 40 or greater with at least two comorbidities - like sleep apnea, diabetes, hypertensive, etc. Call your insurance company and request their medical policy on the gastric bypass. It will explain what they require to cover the procedure.
   — taow95

August 29, 2011
Does this insurance company also have any exclusions to WLS? Many do, plus, what policy w/i the insurance company the employer paid for. But do agree with the others posters about the BMI and co-morbids. Most insurance companies don't like paying for $30,000+ surgeries, as WLS is, if they feel it's not needed.
   — MardiGras




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