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Denials get overturned all the time. But an exclusion means there is no coverage at all, and I've never seen that overturned.
It's like filing a car insurance claim for something that isn't covered. If someone didn't pay for coverage, the insurance company can't be made to pay.
6'3" tall, male.
Highest weight was 475. RNY on 08/21/12. Current weight: 198.
M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.
Dont be ashamed we just have to check to see whats wrong?I have to save just to get the scope done.
Good luck to all of you and thank you.
Self pay sucks, but maybe if you itemize all you medical expenses for the year you can deduct it from your taxes next year....
I got a phonecall from my insurance company and they told me that my doctor submitted everything correctly for my revision, but he is out of network (I didn't know that) and they would never approve that surgery with an out of network doctor. I have been banging my head trying to figure out why I was getting denied when my doctor told me it was a home-run for approval. Couldn't they have told me this 2 months ago?
Now I am searching for a new surgeon which I hate doing but oh well. I called the helath advocate for my husband's company and they are helping me with the search.
Mary
I feel ya i have gained 40.Surgery in 2002.I believe I have stretch my stoma because I can eat just as much as before.
I feel ya i have gained 40.Surgery in 2002.I believe I have stretch my stoma because I can eat just as much as before.
hi im interested in revision also.I had surgery in 2002 and im back up there again.My insurance wouldnt cover but now I soon will have blue cross blue shield Im crossing my fingers.
SCREAMING A BIG CONGRATS TOO YOU.. I TOO AM HAVING A REVISION..ON 5/17/18. IM PRAYING FOR MUCH SUCESS.. YOU ARE EXACTLY RIGHT ALL I READ IS THAT YOU WILL NOT LOOSE MUCH WEIGHT WITH A RNY REVISION. I HAD VSG IN 2014. DUE TO SEVERE GERD AND I ONLY LOST 50 POUNDS. SO HERE I AM AGAIN. IM HOPEFUL THAT THIIS WILL HELP ME I HAVE GREAT CONFIDENCE IN MY SURGEON.
A BIG CONGRAST TOO YOU AGAIN
hello, I was had VSG. in Jan2014. I have severe Gerd. so I'm revising to the RNY. The Dr. discuss the DS with me but due to Gerd and this Acid Reflux the DS would not give me relief in that area.hopes this helps.. my surgery is 5/17/18.im praying all goes well.im getting nervous.
