Do you remember YOUR beginning? Ideas?
I am in the beginning process of my lapband to DS revision. I know everyone had different experiences with insurance companies, surgeon protocols, etc....but can you give me an idea of how long it took you to get approved/denied for your revision?
I have established a PCP, have my second appt with nutritionist, and mandatory seminar on the second Sat in Oct. After the paperwork I get from there, I send it in surgeon and then I wait for dr. office to call me.
I have tried to call BCBS fep blue and check to see if this is covered. Since revision surgery has a different billing code it is unlisted and I was told that in order to know if it is covered I will have to wait until after I meet with the surgeon and they send in my info.
Is this the norm? You would think that I would have a way of finding out if something is covered.....btw...I had the and placed in Mexico due to not having coverage at the time (2007)
Thanks for any input;)
I have established a PCP, have my second appt with nutritionist, and mandatory seminar on the second Sat in Oct. After the paperwork I get from there, I send it in surgeon and then I wait for dr. office to call me.
I have tried to call BCBS fep blue and check to see if this is covered. Since revision surgery has a different billing code it is unlisted and I was told that in order to know if it is covered I will have to wait until after I meet with the surgeon and they send in my info.
Is this the norm? You would think that I would have a way of finding out if something is covered.....btw...I had the and placed in Mexico due to not having coverage at the time (2007)
Thanks for any input;)
I don't have blue. I was trying to get my band out and get the sleeve.
While I was going thru the process, they went to a once in a lifetime
WLS clause. I have got the OK and had the band removed. Now they
are making me go thru the process as though I am new. All this just do
they can deny me so I can appeal. The people here with blue are
getting the same conversion with out issue.
While I was going thru the process, they went to a once in a lifetime
WLS clause. I have got the OK and had the band removed. Now they
are making me go thru the process as though I am new. All this just do
they can deny me so I can appeal. The people here with blue are
getting the same conversion with out issue.
BAND REMOVED 9-4-12-fought insurance to get sleeve and won! Sleeved 1/22/13! Five years out and trying to get that last 15 pounds back off.
Well you know our stories are similar - so here goes my timeline.
July 1 - got new insurance that covered WLS and revision
July 5 - attended online seminar and submitted application
July 13 - they called and scheduled my consult for 7-27
July 27 - met with Surgeon/Psych and Nutrition
August 5 (i think) Had my upper GI and was cleared
August 10 - Had my chest xray and was cleared
August 22 - they submitted my paperwork for insurance approval
August 23 - BC said they would not approve until post op care was submitted
August 28 - had pre-op appt so doc could make final post op care plans
Sept 4 - final packet submitted
Sept 6 - DENIED
Sept 8 - Peer to Peer DENIED
Sept 19 - submitted my written appeal
My fingers are crossed!!!
July 1 - got new insurance that covered WLS and revision
July 5 - attended online seminar and submitted application
July 13 - they called and scheduled my consult for 7-27
July 27 - met with Surgeon/Psych and Nutrition
August 5 (i think) Had my upper GI and was cleared
August 10 - Had my chest xray and was cleared
August 22 - they submitted my paperwork for insurance approval
August 23 - BC said they would not approve until post op care was submitted
August 28 - had pre-op appt so doc could make final post op care plans
Sept 4 - final packet submitted
Sept 6 - DENIED
Sept 8 - Peer to Peer DENIED
Sept 19 - submitted my written appeal
My fingers are crossed!!!
Revision Lapband to RNY 2-6-2013 HW: 286 Pre-Op Diet: 277 Surgery Day: 265 Goal: 155 CW: 155
Plastic surgery 8/28/2014: Brachioplasty, mastopexy, & abdominoplasty.
Plastic surgery 1/27/2015: Butt Lift
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