CIGNA Nightmare
I have had a lapband since 2008 and have had trouble since day 1. I haven't lost a single pound, throw up regularly, have pain at my port site, and have no idea day to day what I will be able to eat. I have recently been back to my bariatric clinic to discuss a revision with my surgeon. He agreed that we needed to try something different because the band did not work for me and my family doctor also agreed. I have had to have the fluid removed from my band twice due to excessive vomiting and my band has been empty since 2009 (even though there is no fluid in the band I still have MAJOR issues with it). My surgeon also did my final fill (2009) under fluoroscopy with an Upper GI and while he saw no "issues" with it, something is NOT right! CIGNA has denied my request for a revision because they say there is not a "technical failure" with the band.....so basically I am just a failure? REALLY?!? Like anyone would choose to live like this. They also say that I have been non-compliant because I have not continued to visit the clinic on a regular basis. Why would I do that if the fills make me sick? I am so depressed about the denial, but now I wonder if I should just give up? Do I have any chance at all? Has anyone else had to deal with this? I am desperate!!!!!!
I'm a CIGNA girl myself and my revision story is nearly the same as yours. There is nothing "technically" wrong with the band so it must be my own body! No one should have to live like this!! CIGNA denied me twice and I have now appealed to the DMHC for an IMR. Don't give up. I have a 90- page document I'd be happy to share. I would like a DS so my request is geared for that.
If you give up, they win.
If you give up, they win.
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Hi Brandy- Nothing yet. I will be happy to share my appeal letter. I have to send it via email. PM me your email address. I can do it tonight. I'm at work now.
Lori
Lori
Pre-band highest weight: 244
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49
Pre-band surgery weight: 233
Lowest: 199 ( for, like, a day)
CW: 260 (yes, with the band!)
Current Fill: 5cc in 10cc band
BMI: 49