LapBand to RNY insurance exclusion
Wondering if anyone can give any advice. I currently have a lap band that was placed in April of 2009, had a port revision in 2011, and hasn't been the same since. Now requesting conversion to RNY only to find out that second surgeries are excluded from my insurance plan.
I am appealing their decision, but I have a feeling it will still be denied, anyone have experience with getting it approved?? Any advice would be helpful!
It is probably going to be very difficult to do since it is a written and specific exclusion.
My policy did not have that exclusion. If they had denied me I was planning to go to Mexico. Ready4aChange will revise from band to sleeve for $5500 - last I was quoted.
I hated the CrapBand with a flaming passion... good luck to you!!!
As you already had one mechanical problem with the band your chances are better. I had the 2nd surgery exclusion also but, was able to win. The name of the game is documentation. I had 9 months of having fluid removed as the band got tighter and tighter from scare tissue under it. I had documentation showing I did well the first year until needing a total until. Than a year later the same thing.
Due to the medical issues, they agreed to remove the band. Than with all my documentations, surgical notes showing the stomach after the band was removed, I was able to prove compliance and medical problems from the band I was given a second chance and the sleeve.