Revision-Conversion fight Advice Needed Please

Mike1300
on 1/13/14 10:41 am - Pell City, AL

I am a failed band patient. I am seeking a conversion to sleeve. Has anyone used a lawyer or advocacy center for a conversion? I have Care First of Maryland. I have a doctor appt in the morning(14-JAN-2013) for some stomach pain, but overall I do not think i have a band problem. I will see in the morning. I have regained my weight back and I do not have restriction since the stomach pain started. 

 

Please let me know how to fight this. I know the Affordable Care Act has changed some things and Maryland has mandated coverages. 

http://www.cms.gov/CCIIO/Resources/Data-Resources/Downloads/md-state-required-benefits.pdf

Bariatric is covered on the first page

 

http://www.cms.gov/CCIIO/Resources/Data-Resources/Downloads/maryland-ehb-benchmark-plan.pdf

bariatric on page 3

 

Please let me know how I need to handle this. 

 

Mike

Mike1300
on 1/14/14 2:51 am - Pell City, AL

Just got back from the doctor. H. Pylori neg, endo scope all is well no erosion.  Still having pain. Some sharp port pain started last night. Doc prescribed Prilosec. What do you all think? Hernia, infection, start of erosion. The doc seems that all is well. I am scheduled for a barium swallow test. could this be gallbladder?

 

Thanks

 

Mike

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