FYI- How I got approval for revison

caw1961
on 11/3/12 1:06 pm

Hi Everyone,

Just to make this short:

I was denied for a revision from lapband to RNY.  My insurance said they only cover one bariatric surgery per life time.     I found out I have a brain tumor and the surgeons ( I saw 5 ) all said I need to loose 80lbs before I have surgery.  My tumor is not cancerous but growing,  It is called a Acoustic neuroma, which it is pressing on my brain stem and took my hearing from the right ear.

I went thu the appeal process, thinking my tumor and 5 neurosurgeons who wrote a letter of medical necessity insisting I need the RNY ASAP.  Still I was turned down.  I went thu 2 appeal process.  Denied twice.  Knowing If I did the 3rd appeal it would be my final option, I hired a Lindstrom Obesity Advocacy help with the final external appeal.  It cost me 600.00, alot cheaper then paying for it myself.  

My surgery date is 11/12/2012.    Thanks,

Ladytazz
on 11/3/12 3:15 pm

I am so glad to hear this.  I wish you the best of health.

WLS 10/28/2002 Revision 7/23/2010

High Weight  (2002) 240 Revision Weight (2010) 220 Current Weight 115.

smileyjamie72
on 11/5/12 1:42 am - Palmer, AK

So GLAD you got approval!!!!

 

 

RNY 2/26/2002                           DS 12/29/2011
HW 317                                     SW 263 BMI 45.1
SW 298                                     CW 192 BMI 32.9~60% EWL
LW 151 in 2003  
TT 4/9/2003

Normal BMI 24.8 is my GOAL!!!

 

 

 


 

 

 

GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**

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