Another Johns Hopkins Question

Mary B.
on 5/18/10 1:48 am - Southern, MD
Do they have a "program fee" and how much is it? How much did you have to pay out of pocket? I have BC/BS Fed. Still trying to get the courage up to call them (though Im sure they cover WLS, just dont know if they will cover a revision).

I did pull up my panties and call my office for a copy of the discharge summary and bloodwork.

Thanks for the info!
    Banded Feb 23, 2009 / Revision to RNY Aug 25, 2010
 
CMABELL
on 5/18/10 2:39 am
Did your band malfunction or did you have problems with it?  Otherwise, I don't think the insurance will cover more than one WLS unless the band needs to be removed for medical reasons.  Good luck with moving forward.
                
ReedsMommy
on 5/18/10 3:26 am
There was no program fee.  Many insurance companies will cover revisions if you would still meet the qualifications for WLS.
Traci
HW 331/ SW 318.5/ CW 183/ GW 174
Angiebaby1209
on 5/18/10 4:24 am - Tampa, FL
I did not have a program fee.  My coverage was such that I only had a $200 co-pay.

"Until one has loved an animal, a part of one's soul remains unawakened."
- Anatole France

    
Mary B.
on 5/18/10 4:35 am - Southern, MD
Thanks so much. You guys are great!!

I just finished watching the Info session online. I just have to finish getting everything together.  I have an appt with my current doc june 7. Im sick of this band.

Now I just have to make up my mind if I give him another chance to do this revision or if I move foreward with new doctors.

I was self pay before so if Insurance doesnt cover it, Im SOL. I have no slip according to my dr who disagrees with the UGI findings and I do have a small hiatial hernia.
    Banded Feb 23, 2009 / Revision to RNY Aug 25, 2010
 
ReedsMommy
on 5/18/10 4:38 am
I am not familiar with your current doctor, but with a revision you want to find one that is an experienced revision doctor.  I know Dr. Schweitzer does a number of revisions I am not sure about the rest of the Bayview staff.  Good luck!
Traci
HW 331/ SW 318.5/ CW 183/ GW 174
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