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I am so over my surgeons office ! The insurance specialist went on vacacation without submitting my stuff ! She just got back Monday and I called her , she informed me she had to mail mine beucause it's an appeal and she was waiting for an envelope . But she promises to stop by staples on her way home and get the right size envelope. Are you kidding me ? Lord give me strength !!!
Hello.
In 2007, I had a band installed and visited here often. It doesn't seem quite as busy now as it did then, but still informative.
I live in San Francisco and was just referred for a revision by my GP to either Dr. Rabkin or Dr. Jossart because of regain. Both docs have great reputations, so I am not worried about finding a doc.
I am hoping to revise to a DS or RNY since I need more help than a restrictive procedure can provide. I anticipate that the docs will help me decide and tell me whether they can remove the band and do the second procedure all at once, or if I have to visit the OR twice. Has anyone had a revision band to RNY or DS revision done all at once?
I am most worried about money. I don't think my insurance company will go for this. Does anyone know what these revision procedures cost if you are a cash patient? I am willing to spend a lot, but San Francisco is extra expensive in all other areas, so I imagine surgery is pricey, too.
I am very excited to be getting started and would love to get some feedback.
Karen,
Do you mind sharing the letter you sent to them with me? You can remove any info you feels you don't want to share. I will need to harp my insurance too!
You can email it to me privately at [email protected].
Thank you,
Julie
Just adding to this post. I have Highmark BCBS and my policy states I have a "one per lifetime benefit" restriction. I had to have my lapband removed in January due to failure/slippage/hernia and GERD.
The Dr. wanted to wait 3 months after band removal to heal them do the RNY. The insurance paid some of my band removal claim and denied a portion within the same claim for the Operating room time stating that I used my "one per lifetime benefit" stating the 2 codes used were weight loss related. How crazy it this???
So I haven't had WL surgery and my band removal is considered my one benefit per lifetime. Of course I am appealing but not sure how this will shake out.
Frustrated!!
Julie
Hi KBarb I hope things are much better for you and your family..
I had Lapband 6 yrs ago and after I gave birth to my twins it never worked again. Just got a scope and band has an erosion and small hernia. I am revising to DS Loop but because of issues from the band I will not be doing the sleeve portion of the surgery (can be done at a later date) Has anyone had 1/2 of this procedure and been successful without doing the second sleeve portion?
Now that things are getting closer, I've been letting myself get a little excited. Not too excited, at least not until insurance approval.
I meet with my surgeon this Thursday for a final consult and then my file gets sent to insurance in which the Program Coordinator said that she usually hears back from my insurance company pretty quickly.
My mind wandered this weekend and I thought of some things I really look forward to. Here they are in no particular order.
1. Fitness Fitness Fitness - my goal is to run a half marathon within a year (I've run 4 already and look forward to getting back into it). I also look forward to buff biceps, shoulders and back!!!
2. Shopping in my own closet - since I've been a size 24 to size 10, I have a TON of cute clothes in my closet that I can't wait to wear again.
3. New Pajamas
4. New Bras and Underwear :-)
5. Wearing a swimsuit in public
6. Wearing heels again - when my weight went back up, it became more and more uncomfortable to wear heels. I can't wait to dress up for work again in dress clothes and heels.
7. Playing sports with my kids. We're a pretty athletic family so I really look forward to giving my kids a run for their money when I'm practicing with them. LOL!!!
8. Shopping Shopping Shopping
9. Feeling confident in my own skin - I'm a pretty confident person but sometimes I lose myself in my insecurities regarding my weight and fitness so I look forward to just being overall confident again.
10. Travelling!!! I can't wait to book my first tropical vacation in my new body and lounge around the beach with my DH in our swimsuits and also doing some adventurous activities on vacation.
So, that's my Top 10 and I can't wait to get this journey rolling. I LOVE my life now but am so excited to get back to my ideal size and fitness level in the very near future just to top things off.
Keep me in your thoughts for the next couple weeks as things get finalized at my surgeon's office and insurance reviews my case. I pray that I have no issues with insurance.
Happy Monday!!
Well 5/31/18 I went into surgery to get my lapband I had RNY in 2005 I woke up and was told they couldn't put the band in because I had too much scar tissue from my RNY doctor told my husband they removed a lot of scar tissue and also repaired a leak I had, Doctor told my husband there's an alternative they can do where they go down my throat I go back for follow up on 6/6/18 the only procedure I can think of is the Stomaphyx or the Rose procedure I'm on clear fluids until I see the doctor. My discharge papers say Bariatric stage 1 scars, they told my husband that they will take care of me real soon has anyone ever had this happen to them?
I know this post is old but I would like to know did the Stomaphyx revision work?
I think it depends if you have acid reflux. Since I already had it, he said the sleeve could make it worse. He didn't want me to have a third surgery.
