Revision
Hi Everyone!
I am hoping for some help. In 2005 i got the lap-band which i self paid for. Back then the doctor i had really didnt have any type of program like most places have now. Well in February i started a great program in hopes to get a revision for Gastric Bypass. I passed the program with flying colors and everyone thinks i am a great candiate for the bypass. Well insurance has denied me because i was not complianet with the lap-band. What it comes down to is that on one note that my doctor took it stated that i admitted to not following the nutrition guidelines even though i came back month after month nothing else was reported that i had changed and started following the guidelines. Considered i was self-pay i dont see how its relievant to what i did back then but again its insurance and they dont want to spend the money. This was 7 years ago a lot of things have changed including me. I was wondering if anyone has gone through this or has any tips for me. A couple people have suggested getting a lawyer but i just dont know.
I am hoping for some help. In 2005 i got the lap-band which i self paid for. Back then the doctor i had really didnt have any type of program like most places have now. Well in February i started a great program in hopes to get a revision for Gastric Bypass. I passed the program with flying colors and everyone thinks i am a great candiate for the bypass. Well insurance has denied me because i was not complianet with the lap-band. What it comes down to is that on one note that my doctor took it stated that i admitted to not following the nutrition guidelines even though i came back month after month nothing else was reported that i had changed and started following the guidelines. Considered i was self-pay i dont see how its relievant to what i did back then but again its insurance and they dont want to spend the money. This was 7 years ago a lot of things have changed including me. I was wondering if anyone has gone through this or has any tips for me. A couple people have suggested getting a lawyer but i just dont know.
Oh girl, I have been through this too. Get a copy of your entire medical report regarding your band appointments. My doc wrote WHATEVER he wanted! I was puking DAILY but he wrote "no vomiting." He reported that I was non- compliant with my diet too, except that I COULD NOT eat protein. I just puked it up. This is what I am fighting with now. He just didn't want to look bad and he just kept filling me up!!!
Here's what I did: I gave up and I went in and acting like I wanted to start over. I went every month or two to get weighed and to complain that I was vomiting and throwing up. I did this for 9 additional months. Now I have just re-submitting for a revision authorization.
What the insurance companies don't understand is that many of us CANNOT be compliant without vomiting... grrrrr.
The lawyers are expensive and they won't take your case unless they can win...so be careful. Once you are labeled "non- compliant" I think it's hard to get out from under that.
Here's what I did: I gave up and I went in and acting like I wanted to start over. I went every month or two to get weighed and to complain that I was vomiting and throwing up. I did this for 9 additional months. Now I have just re-submitting for a revision authorization.
What the insurance companies don't understand is that many of us CANNOT be compliant without vomiting... grrrrr.
The lawyers are expensive and they won't take your case unless they can win...so be careful. Once you are labeled "non- compliant" I think it's hard to get out from under that.
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
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