Question:
The lady who deal with insurance company says my case is weak!

I have not had consistent health insurance for the past 10 years, only go to clinics when I am feeling ill, which is not often, have a "low" BMI (yeah, right!) of 42, and have not been on a doctor-supervised diet. I do have evidence of high cholesterol and high triglycerides from blood work I paid for myself. I did have my gallbladder out, and provided proof of that. That's all I have plus the packet from my surgeon. Does this mean that I won't be approved? I am feeling nothing but dread. Any words of encouragement? (My insurance company is Pacific Life & Annuity). Any suggestions are appreciated! Thanks!    — [Anonymous] (posted on February 12, 2002)

February 12, 2002
If you went to Weight Watchers you could have a friend sign a notorized statement showing this by insurance accepted that but I did have a docotors comment also that I was in Weight Watchers which supported it. Good Luck.
   — Candace F.

February 12, 2002
I thought a BMI that was 40 or more was considered morbidly obese. Just be persistent ... don't give up!
   — Betty Todd

February 12, 2002
Last poster is right, the pre-requisit for WLS is 35 BMI or more with at least 2 co-morbidities or 40 and that's all
   — Diane B.

February 12, 2002
My best advice for you is to go to your PCP, have him/her put you on a medically supervised diet with regular weigh-ins until you hear about approval/denial. My surgeon put me on a diet for those reasons--it will only help you in the long run--that way, if your ins. denies you because of that, you ARE on one now and will stay on one until you are approved! I'm jumping through a ton of hoops for my surgery but I know it will be worth it in the long run! Good luck!
   — jenn2002

February 13, 2002
Get a copy of the policy from your employer and see EXACTLY what it has to say. That is the ONLY way you will be able to know for sure if your case is weak or not. Don't let your employer (usually Human Resources Dept) put you off. You have a right to a copy of the policy.
   — garw

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