WAITING FOR APPROVAL/UHC

trenya07
on 2/19/13 4:32 pm - East Coast, NC

I was told yesterday that my esophagus is dilated (again) and my band needs to be removed. I've had it for 5 years, lost 100 lbs total, had a baby last year and holding on to 30 lbs from pregnancy. I don't consider my band to be a complete failure but its ran its course and I would like to lose another 50-60 lbs! .....without the acid reflux, vomiting, or "stuck" episodes.... No one could tell me 100% whether the revision would be covered or if I had to repeat the entire process (nutrtion and psych). Patiently waiting to hear from UHC.

**************75 lbs lost 25 lbs to Goal and One Year Bandversary!!****************
noftessa0401
on 2/20/13 3:14 am, edited 2/20/13 3:14 am - San Diego, CA
RNY on 12/27/12

That is a good question for someone from UHC to answer.  Here is what I found on-line:

Surgical revision or a second bariatric surgery is proven for inadequate weight loss if the original criteria for bariatric surgery (BMI, co-morbidities and patient selection criteria) continue to be met.  

Surgical adjustment or alteration of a prior bariatric procedure is proven for complications of the original surgery, such as stricture, obstruction, pouch dilatation, erosion, or band slippage when the complication causes abdominal pain, inability to eat or drink or causes vomiting of prescribed meals.

Based on this, I don't think you would have to start over from the beginning.

HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"

M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)

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