Recent Posts

JJT
on 5/8/18 11:47 am
Revision on 09/14/17
Mary F.
on 5/8/18 11:20 am - East Windsor, NJ
Topic: RE: My revision denied due to an exclusion... any experience with this?

Self pay sucks, but maybe if you itemize all you medical expenses for the year you can deduct it from your taxes next year....

Mary F.
on 5/8/18 11:18 am - East Windsor, NJ
Topic: Finally got some answers

I got a phonecall from my insurance company and they told me that my doctor submitted everything correctly for my revision, but he is out of network (I didn't know that) and they would never approve that surgery with an out of network doctor. I have been banging my head trying to figure out why I was getting denied when my doctor told me it was a home-run for approval. Couldn't they have told me this 2 months ago?
Now I am searching for a new surgeon which I hate doing but oh well. I called the helath advocate for my husband's company and they are helping me with the search.

Mary

antionettelewis525
on 5/8/18 10:46 am - Creedmoor, NC
Topic: RE: stretched stoma

I feel ya i have gained 40.Surgery in 2002.I believe I have stretch my stoma because I can eat just as much as before.

antionettelewis525
on 5/8/18 10:43 am - Creedmoor, NC
Topic: RE: stretched stoma

I feel ya i have gained 40.Surgery in 2002.I believe I have stretch my stoma because I can eat just as much as before.

antionettelewis525
on 5/8/18 10:39 am - Creedmoor, NC
Topic: RE: My revision denied due to an exclusion... any experience with this?

hi im interested in revision also.I had surgery in 2002 and im back up there again.My insurance wouldnt cover but now I soon will have blue cross blue shield Im crossing my fingers.

Hotchic
on 5/8/18 8:58 am
Topic: RE: Yes a revision can be more successful than the standards numbers....

SCREAMING A BIG CONGRATS TOO YOU.. I TOO AM HAVING A REVISION..ON 5/17/18. IM PRAYING FOR MUCH SUCESS.. YOU ARE EXACTLY RIGHT ALL I READ IS THAT YOU WILL NOT LOOSE MUCH WEIGHT WITH A RNY REVISION. I HAD VSG IN 2014. DUE TO SEVERE GERD AND I ONLY LOST 50 POUNDS. SO HERE I AM AGAIN. IM HOPEFUL THAT THIIS WILL HELP ME I HAVE GREAT CONFIDENCE IN MY SURGEON.

A BIG CONGRAST TOO YOU AGAIN

Hotchic
on 5/8/18 8:49 am
Topic: RE: Approved for my Revison

hello, I was had VSG. in Jan2014. I have severe Gerd. so I'm revising to the RNY. The Dr. discuss the DS with me but due to Gerd and this Acid Reflux the DS would not give me relief in that area.hopes this helps.. my surgery is 5/17/18.im praying all goes well.im getting nervous.

sunshine1968
on 5/8/18 7:02 am
Topic: RE: Has anyone had their Duodenal Switch revised because they weren?t losing enough?

Hi Laura,

Thank you for your suggestions. Yes, I posted this on the DS forum as well. Going to do my best to help the surgery work for me and see what happens before going the surgery route. Just trying to see if anyone else had a similar situation and how they overcame it.

hollykim
on 5/8/18 6:41 am - Nashville, TN
Revision on 03/18/15
Topic: RE: Revision received letter back from Cigna
On May 6, 2018 at 9:31 PM Pacific Time, cuttinojo wrote:

I received a letter from Cigna regarding the revision they said I need not to respond they sent this to my Surgeon for more information to see if it was medically necessary. I wonder what do they need from the surgeon?

they prob want to know the results of any testing that has been done.

they are looking to see if there is a mechanical problem with your pouch/sleeve of if it is " user error" like you are eating too much or haven't followed the plan.

 


          

 

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