working from crappy puter so pardon oopsies....

Great question Lisa and kudos to you for being pro-active and doing your research ahead of the game!

2 main reasons that insurances will cover a revision to an original WLS:

1.  Mechanical failure or medical necessity (bland erosion, band slippage, stricture, blockage, staple line disruption, etc)

2.  Patient did not reach their desired goal weight or because of metabollic or non compliancy or health or ........has had significant regain and co-morbidities have returned or their BMI is 35 or over.

That's not cut and dried and there are other things to factor in....  (individual cases....one size does not fit all kind of philosophy)


There are definitely procedure types that have proven to have better long term success stats than others.  People with the total info pkg make a choice based on their own situations.  so, if someone has selected a band because they're young and still want children or have medical reasons that they need certain meds that are not recommended for other surgery types then....they may find later that they really need a malabsorptive componant added to really make a difference.

There are really very few revisions.  But....because we are in neeed of support and help and are realize just how valuale compliancy really is......you see a bunch of us gather on these great chat sites.

"Revision" is such a generic term.  It doesn't need to mean a person has undergone a total body overhaul.  It can mean that they simply needed some scar tissue cleaned up or a hernia repaired or their pouch banded or their common channel shortened a  bit.

It shouldn't be something that freaks anyone out but rather a comfort to know that if for some reason a surgery doesn't perform the miracle hoped for that there are options for a 2nd chance!  Of course none of us want to sign up for something with a part 2 clause!  Of course compliancy is important!  But, lets be honest with ourselves and with our demographic!  If we could have all been perfect eaters and exercisers before then we wouldn't havve needed a tool in the 1 st place!

Revisions are blessings to those of us who need our tools repaired, sharpened or traded in!  LOL!

I'm thrilled I've had one!

Good luck with your journey!  Choose well!  Follow your program!  ....and find comfort knowing thatt if things fail (small percentage) then there are potential fixes:)

Huggggzzzz,

Almond milk sounds wonderful.  Where can I find it at?  Thanks

I can eat cold cereal about a cup, but it isn 't the most pouch friendly.  Try Quaker Weight Control Oatmeal instead.  It has more protein and you don't need to add the milk.

Michele

This doesn't sound like a CIGNA issue..... it sounds like its a provider issue.

I would ask to speak to an office manager to see if they might be willing to make an exception. Either that or you can pay upfront and turn in a claim form (as long as whatever you're having done is a covered benefit under your CIGNA plan).

Otherwise, find a surgeon who will accept your insurance.

Good luck, I know what a pain it can be!!

Hey guys, like I said before from a fellow member who showed me. I was looking for good food to make that's easy on the stomach and I found this website. THeworldaccordingtoeggface.comm
It's about a lady who had post bariatric surgery and her afterlife details and her new style of cooking. On her website I also found the OH link that she recommends. She has many recipes, which I choose dessert!;p