Did BCBS Federal cover your revision?
Hi , it's been awhile since I've visited. I want to get my Sleeve revised to the RNY. I have horrible acid reflux and a huge Hiatal Hernia. Ok this is going to be my 3rd WLS. 2008 LB lost 17 lbs and gained 20 lbs. 2009 VSG had worse acid reflux then with the LB. Lost 30 lbs and gained 20 lbs. Never got to my goal. I was hungry all the time. I really did not do good. I need the malabsorption. Anyway, I have BCBS Federal. They denied me last year. This time my doctor is going to say this is Medical Necessity. Thanks for your help.
HI EPTHOMAS59, THANKS SO MUCH FOR YOUR REPLY!!! What state do you live in? I live in Oklahoma even though my insurance is BCBS Federal, I work for the government. CONGRATS on your revision surgery!!! 47 lbs lost, you are doing great!!! I guess you did not have to do a 3 month program with a nutritionist and exercise program? That is what I'm doing right now.
Thanks so much for your reply.
Hi. I saw your post - did BCBS Federal cover your revision or were you talking about the initial WLS? I'm hoping to get a revision but worried about BCBS coverage. Did you have to gain all of the weight & get back to where you were before they would pay for the revision? Any advice would be great. Thanks.
it is not "which insurance company is best as far as approving your revision" but you individual policy. your employer picks what is and isn't covered we could have the same insurance carrier with vastly different policies, you have to read your subscriber agreement and pay attention to what is covered, and exclusions