what is criteria to be eligible for RNY to DS revision?
I am 5'4", started at 248, went down to 143, now I am back up to about 180. Does anyone know if that is a significant enough weight gain to be considered for RNY to DS revision, and has anyone had success/failure getting insurance to pay for it? I have anthem blue cross CA, who in 2004 approved without any problem my RNY, but would not cover DS at the time but I have heard that they now do cover it. any info or shared experiences would be very much appreciated! I emailed the surgical group in my area that does the revision, but of course that was friday evening and I want to know NOOWWWW!!!!!
(deactivated member)
on 3/14/10 3:05 pm - Bakersfield, CA
on 3/14/10 3:05 pm - Bakersfield, CA
Which surgical group are you looking into? Is it Rabkin? I heard he is excellent.
Yes, unless you are having medical problems associated with it, I doubt your BMI is high enough. I have Anthem bluecross too. So far, I have just been given a list of COE hospitals, but they don't seem to match up with all the DS surgeons.
Yes, unless you are having medical problems associated with it, I doubt your BMI is high enough. I have Anthem bluecross too. So far, I have just been given a list of COE hospitals, but they don't seem to match up with all the DS surgeons.
My BMI had just hit 40, and I had mechanical failure, so I was approved in about 4-5 months. Without mechanical failure my BCBS policy required 6 months of monthly diet & weigh ins with my primary, proof of compliance with the original procedure, and all the same pre-op workups that were required for the initial surgery.