Recent Posts
Hi
I am new to this forum and wondering if anyone has had any issues with Cigna approving the revision, I had a lap band removed July 2016, currently wanting to get the completed bypass, The Bridges Center stated that I did not need the physic eval or the diet based upon CIGNA's requirements for Revision Policy. I asked if they were sure only because they wanted me to get all the other tests and preop, spent a ton of money only to find out this morning that I was denied because of no diet or physic eval. They set up a Peer to Peer this Friday with Cigna and the surgeon, has this happened to anyone else?
I also had band removed and want bypass. My insurance is saying No coverage as some dx code from testing for band failure and/or removing band was my one per lifetime benefit. Seems I can fight this?
I was scheduled for the pre op tests and psyc eval that I need prior to them submitting for Insurance approval but I am now wondering if I should do tests so they can submit as I need something to fight against (denial) right?
julie
Which insurance? I am also wanting bypass after having lapband removed but it looks like I have a fight on my hands. I have Highmark BCBS.
julie
That's great to hear!
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.
Me too! I'm having my lapband removed 4/30, converting to a bypass too. Hoping to hear about everyone's journey.
LapBand 2017. Went from 225 - 165. Band Failed.... Doc went out of business.
REVISION to Bypass 4/30/2018. SW 232 CW 231 GW 145
I would love to hear updates about GERD resolution after revision. My surgeon is suggesting I proceed with a revision and I'm game, except that I have been taking a PPI for 15 years.
The whole purpose of doing a revision (for me) is to get OFF of the PPI. likely??
I'm looking at a VSG to RNY revision only because of severe persistent GERD (had it all my life, surgeon was sure it would resolve with VSG but no luck).
I am fighting to get off some remaining regain and i'll see the surgeon again in a couple months. Looking to hear updates from those who had revisions within the last 6 months.
How are you doing now?
If you had revision because of symptoms, did they resolve?
Have you lost any further weight?
Do you regret it?
Most people loose at much smaller pace after a revision. Be prepared for that. But.. people lose weight, just not as fast. Be patient, breathe, and try to do your best. Long term loss is much more important than a fast weight loss.
Good luck.
Hala. RNY 5/14/2008; Happy At Goal =HAG
"I can eat or do anything I want to - as long as I am willing to deal with the consequences"
"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."
Unless you insurance has "one WLS surgery per lifetime" - it may take time to get approved. But if not - start saving or looking for a loan to get WLS you need.
Hala. RNY 5/14/2008; Happy At Goal =HAG
"I can eat or do anything I want to - as long as I am willing to deal with the consequences"
"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."
