Does BCBS Federal approve Revision Surgery for Light Weights?

LauraH.
on 9/22/11 5:46 am - Branford, CT
Lap Band on 06/23/08 with
Hi-
  I have BCBS federal, and I called  to inquire if a revision would be covered. I also asked if my BMI needed to be over a certain number. I was told that  my BMI wouldn't matter for revision, but the revision needed to be medically necessary.  That was awhile back, so things may have changed. Good luck to you, and hope all goes well!

 

 consult wt= 235 / surgery wt= 218 / lowest wt= 163/ current wt 178

Only a hen accomplishes anything by sitting on her butt!
A smooth sea never made a skilled mariner-- English proverb
                                                    
 

Virgie Tschirhart
on 9/23/11 12:40 am, edited 9/23/11 12:42 am - Midwest City, OK
RNY on 12/27/17
Hi LauraH,

I called yesterday and was told BCBS Federal needed more information from my doctor.  Wanting to know why I would need a revison.  I would think and hope they would see that I have Type II Diabetes, High Blood Pressure, High Cholesterol.  I'm trying not to think about it so much, but you know how it is.  It's just nerve wrecking......

Your reply gives me some hope. 

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

Ksan32
on 9/20/11 3:08 pm - AZ
I am doing well. Still having occasional throwing up like today at work! And ugh constipation!
            
I am currently at 130 lbs 10 pounds below goal weight!
    
Virgie Tschirhart
on 9/21/11 11:12 am - Midwest City, OK
RNY on 12/27/17
I'm sorry to hear about the throwing up.  What do you think the reason is why your are throwing up?

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

Ksan32
on 9/22/11 1:10 pm - AZ
Um I think chicken and eating to fast! I was mot 35 bmi but I was revision like you.
Virgie Tschirhart
on 9/23/11 12:41 am - Midwest City, OK
RNY on 12/27/17
Thanks.  I appreciate all your information. 

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

(deactivated member)
on 10/7/11 11:20 am
Hi, all.  I just came across your post and have an insurance question.  I too have BCBS Federal.  I had the lap band in Feb '09, had it removed in July, '11.  Now I want to have the bypass.  I just finished all my requirements for insurance.  In looking over the insurance info the one question I have is that it says, "Diagnosis of morbid obesity for a period of two years prior to surgery. " When I had my band I lost about 60 pounds, all from throwing everything up.  Of course, now after it has been unfilled and removed, I have gained it all back and am at exactly the same weight I was before I had the band in.  How does the insurance company look at that since I went below a 35 bmi with the 60 pound loss but now am back up?  That part really confuses me and worries me. Right now I am at a BMI of 40.6 with only one comorbidity, sleep apnea.  Any thoughts?
Most Active
×