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I went in for my EGD test. It was confirmed that I have a huge hiatal hernia and GERD. However, the doctor stated that he did not see anything on the test that would allow for the exclusion with my insurance company to be appealed. So I am confused because I thought that BOTH a hernia and GERD were reasons for an appeal. They did not want to even submit a claim. So I called my insurance company and they said that I could appeal the decision myself, but the office needed to first submit the claim. So I called the doctor's office, and it appears that the doctor is leaving in June, so he did not want to submit the claim because he wold not be around to do the procedure. I still felt that they can at least try, even if I will have to choose another provider. It seems like they do not want to deal with the appeal process so they have written me off. I will keep you updated on how things go.
My surgeon said the same. He said because I had a hernia and scar tissue it could be more difficult.
Best of luck to you
I'm only supposed to stay in the hospital overnight. I'm still on the fence but scheduled June 20th as my surgery date. At this point I'm 65% sure I will have the surgery but it changes hourly.
Anyone here post op Ds have a revision done? Surgeon is willing to resleave but I feel it's not enough I still have great restriction I need malabsorption.. looking for others who have had a revision and what your experience was.. thanks
Sorry to hear this. I did not have this experience. For my husband's surgery, our doctor had to do a peer to peer review. She had to get the procedure approved because he didn't meet requirements because his BMI was too low. She had it approved because of the reflux and bleeding ulcer he had developed because of the band. Maybe your doctor could try again and use a different approach. Good luck!
You can't measure your achievements with someone else's yardstick!
Revision from lapband to RNY 12/26/17 with Dr. Caitlin Halbert
HW 260 SW 248 CW 154 GW 145
Gallbladder removed 9/18
Beth
So I actually did my EGD in January only to find out I don't really have a sleeve. The surgeon did not do what he was paid to do. He's also indicted and unable to practice anymore for a lot of things. I did try to go through insurancebecause they do offer coverage but they denied me because I had a previous surgery and they said I only read gain weight because I wasn't compliant. And I don't have a complication. My surgeon try to argue that him not doing a sleeve correctly there's a complication but they did not accept it. I kind of just wish I'd had surgery in January but I really thought was a good chance insurance would cover it. Least I know the reason for the regain was that I don't really have a sleeve. He didn't remove the antrum or the fundus like my stomach is just huge.I am scheduled for surgery May 9 to DS.
Im curious to know, how are you able to get your insurance to pay for a revision with a non obese BMI or other comorbdites?
Please let me know if you like it or can taste it.i still have not found any protein powders I like..still on the premier protein and that's maybe once a day.
Glad to read that you are doing great. Have you ever tried this product? I got a few samples to see if I can taste it, will let you know.
https://www.vitalproteins.com/
A negative mind will never give you a POSITIVE result!
5' 8" 
HW 292, SW 280, CW 270.0
MGB is one anastomosis gastric bypass, whereas RNY is two anastomosis gastric bypass.
