Not Happy

Post Date: 1/19/11 6:18 pm
Ok anybody ever had the insurance company want to know if your prior WL surgery was coveraed by insurance. They are also wanting documentation of the diet and exercise plan i followed after my first surgery which was over 11yrs ago. This kind of information is not available Dr's offices and hospitals purge there medical records about every 7 yrs or so.....If anybody has any info i would appreciate it ......Gonna post on revision forum also.....God Bless

Mine never asked.  I would get your policy and look over how revision is covered on your policy.  If your insurance company has that one surgery in a lifetime rule they may just be checking to make sure they didn't cover your surgery before.  I wish you the best!

Not sure about that but just wanted to say good luck with the revision!

Aetna's requirements for repeat bariatric surgery states that the original surgery had to have been considered medically necessary. I took that to mean that I had to had mean that my insurance paid for it b/c it was medically necessary. I'm not sure if that's similar to what you're saying.

i too have problems with my insurance covering my convertion... they denied me and i have problems with my asophicus and they don't want to pay for it.. they said that i need to go and see nutriotionists and excersice... my doctor is fighting with the insurance company saying that i need to have the surgery... i was suppose to have surgery this tuesday the 25 and two weeks prior to surgery they denied me twice... i had a melt down.... im just hoping that my doctor can get thru the insurance company soon....