Had consultation, now feeling down

(deactivated member)
on 1/19/07 5:00 am
Well, I had a consultation with Dr. Curry yesterday regarding a revision. Couldn't really tell how he or his staff felt about which way it would go. Either way, I have a scope scheduled for Feb 1st. Feeling down because I had someone who's wife is a VP for an insurance company review my policy regarding revisions and looks like the only way I will get approved is if the scope proves that regaining weight was not at all my fault. No way that's ever going to happen. My policy states that I must have a "documentation of failure secondary to a surgical complication such as fistula, obstruction or disruption of a staple or suture line" before they will approve. I honestly don't think I have any of those....so I'm wondering if I should even waste his or my time (and money) going forward with the scope. I wish I could tell the insurance company had I had the right education and support the first time around, I might not be seeking a revision. I feel better educated now, 5 years later, but a little too late... Oh well, if anybody has some good words out there for me, I'd love to hear them. Jill
lindaway
on 1/19/07 1:19 pm - Mentor, OH
I say go for the scope. One of my favorite Bible verses is: "You have not because you have asked not". If you don't try, then you will never know. What's the worst that can happen? You find out it's not covered. So, go for it. At least you will know that you exhausted all your options. Linda
Jay K.
on 1/21/07 6:59 am - Madison Heights, MI
maybe an enlarged stoma? i hear that happens quite often. or maybe if your pouch is stretched the surgeon can make a case that you should have had a micropouch????
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