Revision to RNY

Question, do most insurances cover a revision if needed.

Every insurance plan is different. The only way to know if YOU are covered is to call the customer service line on the back of your insurance card and ask.

Depends on reason for revision.Mine was Acid reflux and bile reflux.They covered mine after Dr did a a Peer To Peer with them.

As they say, the only way to really know is to ask - the insurance company. Generally, a revision to correct a problem or complication with a covered procedure will be covered; a revision for weight regain will usually come under the typical 35/40 BMI criteria, if a second WLS is covered at all (some policies restrict WLS to one per lifetime.)

Another suggestion on this is to make sure to get a second (or third) opinion, as revisions can be more complicated than original surgeries, and many bariatric surgeons don't yet have enough experience with sleeves to know how to correct some problems and prefer to stick to their comfort zone and revise to a bypass. A second opinion can expose this problem, or confirm that it is the correct approach in your case.

As others said, you need to call and ask. But, more and more insurance companies are instituting a one WLS per lifetime limitation, even if the first surgery was covered by another company.

But there are a million variables. Call them.

In my case, the team had to all agree on my revision (RNY to RNY, I have a gastric fistula so my excluded stomach is working at 100%). They considered my first surgery failed. When they submitted to insurance, I was approved in 2 days. I know I kind of got lucky. It took longer bc this was a riskier surgery bc it's my 2nd one. I didn't seem a second opinion just bc I trust my doctors - I go to a Center for Excellence. Good luck & best wishes.

Coverage varies greatly, so do call your insurance and just ask. There's no shame in it at all, and it's the only way you'll know for sure. One thing I'd like to suggest though, is if since you already have the VSG, look at the DS as a revision option, because it keeps the sleeve stomach intact, including your plyoric valve.