Self Pay to Insurance Approved Questions???
So I had Lap-Band 12/2006 (self pay) lost about 70 lbs and then gained it all back. Here I am 10 years later and now finally I have insurance that will pay for surgery. (BCBS of AL.) My question is If I am having a revision do you think I really have to go through all the hoops as they say to get it approved? Yes my surgery was self-pay but my BMI was the same then as it is now which is 51.
No one can tell you this - you'll need to ask your insurance company.
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
I had to start by going to my surgeon's seminar and then set-up my "first" appointment with him. I had to go to three dietitian appointments, a psych eval, upper GI scope, ultrasound of my abdomen. I didn't need a sleep test thankfully.
It took almost a year before they approved me as I was denied three times even with a peer to peer and it went to the national appeals for Cigna. They finally approved the band removal and revision to bypass.
My surgeon already took out my band. I have had the GI scope and ultrasound of my abdomen hopefully this will speed up the process. I had an emergency band removed. Are you glad you went with the bypass? I'm looking at the Sleeve, but I have already made one bad choice I want to make sure I make the right choice this time.
Hi. I have BC/BS and I am going thru all "the Hoops" for the 3rd time, and I have been approved. Had xtra test this time--Esophageal Manometry, band can and did cause damage that can be permanent. :(
BMI 44--> 35--> 43.8
Band in 2007--Band out 2013, revision to RNY unable--2016 RNY (will get date this Friday)
Good Luck!!
Lap-Band 2007 out 2013 RnY 2016 Age 64 5'6" HW 294 SW 284 LW 214 CW 235.2 goal 199
G. Dean Roye, MD FACS
Patty
I have BC and I had to to repeat somethings per my doctor but insurance I did not have to do anything.