Does ins pay for revision

Debbie R.
on 12/4/10 11:56 am - Las Cruces, NM
I have the lap band and have only lost 65 pounds, i am still considered obese with a bmi of 32. i am going to have spinal fusion surgery next month and i wont be able to move around much and i'm sure i will gain more weight. My back surgeon told me i needed to lose weight...I didn't think I would ever hear those words again.
So, just wondering if i should have a revision and if my insurance company will pay.
WASaBubbleButt
on 12/6/10 1:58 am - Mexico
On December 4, 2010 at 7:56 PM Pacific Time, Debbie R. wrote:
I have the lap band and have only lost 65 pounds, i am still considered obese with a bmi of 32. i am going to have spinal fusion surgery next month and i wont be able to move around much and i'm sure i will gain more weight. My back surgeon told me i needed to lose weight...I didn't think I would ever hear those words again.
So, just wondering if i should have a revision and if my insurance company will pay.
 
As i told you on another board, you won't necessarily gain weight after surgery.  We don't lose because of exercise, we lose because of diet.  Just don't eat the wrong things or large quantity.

Ins will not pay for a revision unless you meet the basic qualifications and if they do not have a 'one WLS in a lifetime' exclusion.


Previously Midwesterngirl

The band got me to goal, the sleeve will keep me there.

See  my blog for newbies: 
http://wasabubblebutt.blogspot.com/
jazzy31
on 1/6/11 4:41 am
It all depends on the plan your company has with the insurance company.  When I had my band done back in 2007 I had UHC and my company's plan had no coverage for WLS so I paid out of pocket.  I needed a revision 3 years later and fortunately my current company's plan with UHC covered WLS and revisions.  Thank God.  In my case I had UHC at 2 different companies but each company selected different types of coverage. 

You really must review your SPD (Summary Plan Description) and talk with your insurance company. 

Good Luck!

 HW:330, SW: 280, CW: 161, GW: 165         

 

 

 

 

 

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