Fed BCBS?
Revision on 08/27/15
I'm looking for anyone that was able to get Fed BCBS to cover a revision surgery when they had a BMI under 35.
Lap-Band 2007
Lap-Band Replaced 2011
APPROVED for revision to RNY! Awaiting surgery date!
Revision on 08/27/15
Would you mind sharing the cir****tances of it and how many hoops you had to jump through? I'm worried they won't cover mine, since I had my original surgery (lap-band) through a different insurance company.
Lap-Band 2007
Lap-Band Replaced 2011
APPROVED for revision to RNY! Awaiting surgery date!
I had a large ulcer that was not responding to meds. I didn't jump through any hoops at all. My hospital took care of the pre-authorization request, and Fed BCBS approved it immediately (1 or 2 business days). I literally had surgery just a few days afterward. I was in a lot of pain and wanted surgery ASAP.
Pre-op BMI 52.6 (2008)
Current BMI 20.7 (2009)
Revision RNY 07/11/2011
Current BMI 20.7 (2009)
Revision RNY 07/11/2011
Revision on 08/27/15
I'm hoping my situation will be that easy. I want to revise from a lap-band to a sleeve. I go on Monday to see how bad my band is (I haven't seen a surgeon in 2 1/2 years).
Lap-Band 2007
Lap-Band Replaced 2011
APPROVED for revision to RNY! Awaiting surgery date!
I have BCBS Federal and they are making me wait!! I've been jumping through their hoops since before March '11... When they told me it could take up to a month they were not lying!! I got a letter from them on June 8 stating they needed additional information from my previous surgeon... Long story short I finally got everything they needed and faxed it to them on July 6... I have yet to hear anything... when I called the lady told that it could take up to two months now. My BMI is right at 39. I had Crap band in 08 and I'm requesting gastric sleeve... For the most part I just want this band out of my body... I have no fluid in it and I still get stuck and get sick if I attempt dense protein. I hope you find out something soon... for me... I'm not holding my breath...
Revision from Lap Band to Gastric Sleeve. August 16, 2011