I'm HAPPY gonna get sleeved tomorrow, but upset BCBS FEP will NOT cover it!
This will be the beginning of my new life, I keep telling my self. It will be great to stop taking diabetes and high blood pressure medication. It will be fantastic to be able to buy new clothes and not be depressed about how I look.
This will be a revision from Lap Band to VSG. Unfortunately, this will not be covered by my insurance BCBS Federal Employee Plan
. I had the lap band done in April 08 The band does not work for everybody. I followed the rules and yes, once in a while I ate what I was not supposed to, I'm not perfect. I still kept going and there were no more results. At first some weight came off, then I gained it all back. I was always, hungry and it was not HEAD hunger either. 
BCBS FEP says the VSG is still under investigation, they will not pay for it. I have read some people here on this forum say that BCBS FEP paid for theirs. I'm just not getting it............ Anyway, I will be sleeved in the morning Oklahoma Time 7:00 am. I will keep you all posted. Keep me in your prayers Thanks. 
Virgie Tschirhart
Lap Band - 2008, Sleeve - 2009, RYN - 2017
Started Program Weight July 13, 2017 - 194.2
Before Surgery Weight December 27, 2017 - 185.0
Current Weight - February 2018 - 161.0
I have popped onto the lapband board a few times, and spoke with Vicki on there (Midwestern girl told me about her).
Have you had any appeals with the insurance denial? Over on the DS messageboard, there is a wealth of information there too, for insurance-related topics
-Jamie
RNY 2/26/2002 DS 12/29/2011
HW 317 SW 263 BMI 45.1
SW 298 CW 192 BMI 32.9~60% EWL
LW 151 in 2003
TT 4/9/2003
Normal BMI 24.8 is my GOAL!!!
GBP (RNY) 2/26/02 298 lbs, TT 4/9/03 151 lbs, DS 12/29/11
HW 317 SW 263 BMI 45.1/CW 192 BMI 32.9/GW 145 ~ Normal BMI 24.8
**Revision Journey started 3/2009 Approved 12/12/11**
I was self paid. I did not want to be of course, it cost $12,500. The doctor is out of network so BCBS FEP will not cover it.
Since there was nothing wrong with my lap band the insurance would not have covered the revision anyway.
In your case, I guess you needed to get your stoma fixed, BCBS FEP covered yours. You were very fortunate.
ON ANOTHER NOTE:
Just got home at noon today from the hospital. I had no complications and I feel pretty good. A little pain and acid reflux. Now I'm on the bench!!!
Thanks for keeping me in your prayers Carmen.
Virgie Tschirhart
Lap Band - 2008, Sleeve - 2009, RYN - 2017
Started Program Weight July 13, 2017 - 194.2
Before Surgery Weight December 27, 2017 - 185.0
Current Weight - February 2018 - 161.0
ARustyRose
