Question:
Kaiser says BMI must be 50 to qualify for rny. can someone email an appeal letter t

to assist somehow. what next? I have to gain 59 more pounds to hit the 50 BMI but my bmi is over 41 already. I desperately need help with a sample appeal for Kaiser. thanks so much with whatever you can do to help. please send emails to: [email protected] this is my friends and she'll get it to me. thanks again, CJ    — Patricia C. (posted on January 2, 2002)

January 2, 2002
I to have Kaiser, here in Colorado. I've been through the one year program, and all the other classes they told me to take. I too wonder if I'm wasting my time. I have spent over 1000.00 dollars already going through this process. I to thaught that your BMI has to be over 40. mine is 46 with no comorbs. they had told me it just has to be over 40. were do you reside? did you have to go through everthing that i had? the director of this program had told me that anyone with BMI over 40 quifies. so I hope i don't get a rude awakaning from them that I'm denied. Kaiser does play with peoples emotions, they have mine but I do believe I have to fight it till the end. just the other day one of my friends got approved with a BMI of only 43, were as another friend got denied with a BMI over 50. I don't understand, but I wish you well, keep fighting the fight it's your life not there's...
   — [Anonymous]

January 2, 2002
It really depends where you live. Im here in southern california and for us you have to have a BMI of over 40 with 2 Co-Morbidities or 50 or above with no Co-Mos. They do make you do ALOT of testing to see if you REALLY do have these problems that you claim you have. There is a list of Co-Mos that Kaiser goes by and you have to have at least 2 if you are a BMI under 50. I have a BMI of 44.3 with 2 co-mo's and it has taken me 5 months of testing and seeing specialist and just last Friday my paperwork was sent in to see if I can get approved. You need a PCP that knows about WLS and exactly what your going to need to get approval. I would go for it and try to get approved..all they can say in NO..but then again maybe they will say YES.
   — mastrnservnt