Revision band to RNY... worried about denial (cigna and slippage)

pineview01
on 6/3/14 7:43 am - Davison, MI

Yeah glad to hear you guys got your approvals.

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.

brienicole
on 6/3/14 2:23 am
RNY on 06/30/14

Good luck to you too! I had to submit with a planned date too though so that's why I have it. But now I really have to focus on the 10% loss and I'm half way there though :)

Brie (brienicole) Band to bypass revision on June 30th 2014 :) 

   

RubyJG
on 6/10/14 9:58 am

Hey, just an update from my side. Looks like I was approved for a revision due to the complications I've had. I'm just waiting for a date now. 

 

What does your pre-op diet consist of?

brienicole
on 6/10/14 10:32 am
RNY on 06/30/14

Woo hoo:) were all going to be skinny soon ;) my pre op at the moment is protein shakes and veggies at lunch and dinner. 

Brie (brienicole) Band to bypass revision on June 30th 2014 :) 

   

RubyJG
on 6/11/14 5:28 am

Haha, but more importantly we won't have the GERD, reflux, discomfort and fear of a slipped band anymore.

 

What kind of protein shake are you having (brand). Is it flavored? Do you add anything like fruit, is that recommended? How far out did you need to start the pre-op diet?

ladygodiva1228
on 6/3/14 11:17 pm - Putnam, CT
Revision on 02/04/15

Woo Hoo ladies that is great news.  I am hoping to find out if I'm approved in the next week. 

Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150

Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl

    

shord123
on 6/4/14 3:46 am

So I got my surgery date today. I'm scheduled for my revision on 6/23/14. I have preop testing on 6/9/14 including an UGI. I'm super nervous now yet very excited to start this new chapter in my life.  Hope you get your approval soon ladygodiva! Good luck.

 

RubyJG
on 6/11/14 5:21 am

Ladygodiva,

In my experience they delivered an answer fairly quickly. One thing to keep track of: insurance billing codes. See what the doc had billed out for in their pre-auth, and ensure that it is all included in their approval.

I got something in the mail that only listed the removal of the band, but NOT the revision billing code as approved...so super important to follow up in a case like that.

Are you opting for RNY or sleeve? Sorry if I missed this in the other posts. 

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