Major port problems and new insurance don't want to pay for removal
For some reson they placed her port below her stomach area on the right side. It looks like she has 2 belly buttons.
Her skin has become discolored redish/dark brown color. The Dr group she know works for thought at first the band might have eroded into her stomach. And the this past week her skin blistered over at the site. So now he is thinking that the port is trying to work its was back through the skin.
Her new insurance that just went into effect in Janurary does not cover any weight lost surgery until after 1 year.
My daughter just wants to have the band removed completely.
They have been trying all week to find a diagonis that will work for getting the band removed but it all still considered in with a weight loss surgery since the lap band has to be included in the wording.
The Dr she works for suggested removal of a foriegn body but that must not be going to work because they are still looking for a diagnosis that will work.
I worry about her keeping the band and all in her if there is infection. She just had a baby and she needs to be healthy for him.
She still has her band but she is portless. She's tried a couple of ports and pretty much the same thing happens as your daughter. If you want I can put you in touch with her. She is wanting to have her band removed for other reasons but she's still portless. I don't suggest that, she can only have fills and unfills via surgery.
Ins co's often times will remove a band, they just won't pay to have it repositioned or replaced. Or, what about exploratory surgery to diagnose abdominal pain and then they find the problem and remove the band? Or... remove the port until her 1 year is up. That can be done in the office under a local anesthetic.
Nikki is just so discouraged she wants the complete band taken out and have the gastric by-pass done. I really worry about her having the bypass done. But she has made her mind up.
She was only 18 when she got the band done.
Nikki may have the same problem as your friend. It is always something with the port. She got a fill about 6 months ago when her baby was 2 months old. She had restriction for a few weeks but after it went away.
The Dr she works for now said she should of had the bypass done to start with. But I am so scared of it.
He has been trying to help her and correct all the problems that the Dr that did her surgery has created.
There has to be some kind of complication code that they could use to get the surgery covered with her insurance just to get the band out if it has eroded into her stomach or get the the port out. There is diently something going on with the blistering and skin changes around the port area.
The Dr did mention doing the exploratory surgery like you suggested he suggested something like "removing a foriegn body" but he would have to note anything removed and for some reason if the lap-band is mentioned the surgery won't be covered.
Nikki said all the girls in the insurance don't understand why they would include removal in with weight loss surgery.
Since I have been in your daughter's position before (twice), I will say that I am SO thankful that I didn't have my band removed. There really was no reason to remove it once the port problem was taken care of. I have never regretted having my port removed and am SO thankful that my doctor didn't jump to remove my band when I started having problems. If your daughter (or you) would like to talk with me, email me at [email protected] and I will give you my phone number to call.