SOMEBODY PLEASE RESPOND (REVISION QUESTION) VERY DETAILED ISSUE
OK, I need some assistance. I have an issue that spanns over several boards. Issue one, I am a post op (RNY, 2004). I started at 420 #s. I had RNY in May 2004 and got down to 272 #s. Today, I stand at a whopping 318 #s and I need a revision. I am always hungry, have SEVERE heartburn, and ulcers to boot! ISSUE 2, I just got back on SC medicaid and I was told by my PCP that MUSC does not take Blue Choice. I really want to work with Dr. Byrne for this procedure so could someone please tell me which type of medicaid is accepted by his office. Has anyone even had a revision with medicaid? I do not even know if it is possible but it's worth a try. ISSUE 3, what are the medical necessities that are needed to constitute a revision? PLEASE PLEASE PLEASE RESPOND! THANKS! Oh, I want to add that my BMI is 53.49 and I am 5 feet 2 inches.
Sharekia
Hi Sharekia,
I would call the Medicaid office directly and see which Bariatric surgeons they cover; the one you want may or may not be on their list. You could also call his office first and see if he takes that insurance.
I'm sure a revision with Medicaid would be covered due to complications/medical necessity.
From your BMI alone you should qualify for a revision, but especially due to the fact that you are in pain and have Band-related complications, it should not be difficult to get a revision approved.
Best of luck to you, keep us updated on your progress!
HW 287, GW 150, CW 168 ** Band to RNY 05/29/12 **
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