BCBS requirements for revision or tune up?

 I originally had a open RNY in 2002 with BCBS Community Blue without any insurance difficulties however I stopped working for that previous employer in 2007 but now am with a employer who will be offering the same Community Blue plan. I am waiting for paperwork on plan details to verify there is no exclusion for obesity treatment but if that isn't a problem what do they normally require to have a evaluation for mechanical failure in which a revision or tune up could be done. Medicaid has a policy that only 1 lifetime surgical benefit be covered and even if Medicaid didn't pay for it - they don't cover revision, at least Health Plan of Michigan. In the past Sclerotherapy got me back down after pregnancy however I just had my 3rd pregnancy since RNY and I had Sclero after the other 2. Normally they never will consider doing it a 3rd time. My BMI is at 35 and havn't had my comorbs return and don't want to wait until that happens.

Good Luck. My insurance is through BCBS of North Dakota and they have the clause of 1 bariatric surgery per lifetime. I finally just ended my fight with BCBS and am finding another route of payment. I worked at it for close to 10 months only to end after 5 attempts. I wish you well.
Steph

Hopefully you insurance does not have a wls exclusion and does not have a 1 WLS per lifetime.

I don't think that medicaid will pay for it.  They are getting really strict and do not want to even cover the surgery in most states. 

I did get a chance to see the plan details of coverage and it is like my original that I had in 2002-  It does not have a exclusion stated on it however it did not specifically say wls was covered  either. It just covers the part of medical necessity bieng covered 80% by a network provider. It is always the possiblity that they do the preexisting conditon crap to. The wierd thing is when I had BCBS before even the medicaid picked up the copay, maybe by luck.  Just really confused about whether I should look into it or just accept where I am at and keep doing the basic tools. Not a option without insurance however. Thanks