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  1. #1
    Gastric Sleeve Member My3sonz's Avatar
    I have not had a gastric sleeve.
    Surgeon
    Ashley Mooney
    Join Date
    Oct 2019
    Last Activity
    Today 06:24 AM
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    Sunshine State
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    Default BMI of 40 at consult?

    I praying my insurance carrier Aetna HMO will cover my surgery. Right now I have a BMI of 39 with no co-morbidities. I have high cholesterol but I donít believe that counts as one. When does my BMI have to 40+ for insurance to pay? Iíve read some have used ankle weight to ensure their weight stays. Any guidance or ideas would is greatly appreciated. I need this surgery because Iím tired of yo-yo dieting to gain more than I lost when trying.


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  3. #2
    Gastric Sleeve Member sraebaer's Avatar
    I have had a gastric sleeve.
    Surgery date
    10/07/2013
    Join Date
    Sep 2013
    Last Activity
    Today 10:09 AM
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    Default Re: BMI of 40 at consult?

    Each insurance company is different. If you need to weigh a little more wear your heavy winter clothes, jeans, boots, etc. Something heavy in your pockets!! Good luck.



  4. #3
    Gastric Sleeve Member My3sonz's Avatar
    I have not had a gastric sleeve.
    Surgeon
    Ashley Mooney
    Join Date
    Oct 2019
    Last Activity
    Today 06:24 AM
    Location
    Sunshine State
    Posts
    4
    Said "Thanks" 0 Times
    Was Thanked 0 Times in 0 Posts
    Said "Welcome to Gastric Sleeve" 0 Times

    Default Re: BMI of 40 at consult?

    Thank you


  5. #4
    Gastric Sleeve Member RehabNurse's Avatar
    I have had a gastric sleeve.
    Surgery date
    04/20/2015
    Surgeon
    Dr. Smith
    Join Date
    Jan 2015
    Last Activity
    11-02-2019 09:19 PM
    Location
    Texas
    Posts
    1,147
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    Was Thanked 1,490 Times in 728 Posts
    Said "Welcome to Gastric Sleeve" 905 Times
    Blog Entries
    4

    Default Re: BMI of 40 at consult?

    My BMI was 38 at my initial consult. My comorbidity of elevated cholesterol (dyslipidemia) counted as an acceptable comorbid condition, so my insurance company paid for me to be sleeved.


    10/23/14 Initial Consult 200 lb, 5'1 tall
    4/6/15 Highest Wt 225 (yes: 25 lb gain)
    4/20/15 Surgery Wt 218, BMI 41

    1 mo 203.0 -15
    2 mo 190.5 -12.5
    3 mo 184.5 -6
    4 mo 177.0 -7.5
    5 mo 171.0 -6
    6 mo 164.5 -6.5
    7 mo 157.5 -7
    8 mo 152.5 -5
    9 mo 149 -3.5
    10 m 143 -6
    11 m 142 -1
    1 yr 138.5 -3.5
    13 m 133 -5.5
    14 m 128 -5
    15 m 125 -3
    16 m 121 -4
    17 m 120 -1
    18 m 118 -2

    Dec '17: BMI 23.5; consumes 2000+ kcal/day

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