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I am having my band removed and want to get a sleeve. my doc. doesn't like to do both at the same time. Insurance will pay for the band removal but concerned about it covering the sleeve in a few months. The band worked great for me and I am no longer considered overweight. Do I have to get obese again for insurance to cover a sleeve? Self pays...how much are we talkin here?
I had my band removed and went to a sleeve. My surgeon won't do the both at the same time due to the increase in risk. The one surgeon wants you to wait 2-4 months and the other 4-6 months. I was 4.5 months out. My insurance went to once in a life time WLS. They agreed to the band removal for medical reason but, I had to fight to get the sleeve. I was able to show documentation on 3.5 years of medical problems. I was approved but had to met all the original criteria and would be denied at each step and than would have to re fight for approval at each step.
I also had to do 6 sessions of extra therapy for the revision. I had to have to have a co-morb and BMI of 35 as I was no longer bmi 40. When I started the fight I was below 35. But after the band was removed staying under 35 was hard.