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We are sorry to hear you are having issues with finding a surgeon in your area. Let us see if we can find someone for you... PM me where you are located.
Regards,
Kathy
Member Services
HW:330 - GW:150 - MW:118-125
RW:190 - CW:130
I have Cigna and I had to complete all the requirements as if I was having WLS for the first time. Of course Cigna busted my ass for a year with denials until they finally approved the lap band removal and revision to the bypass. They said it wasn't medically necessary, but it finally was determined that it was medically necessary. Don't be surprised if Cigna still denies you after the peer to peer for non completion of the 6 month diet and physic eval.
Always call Cigna directly to get all the info on what is required for revision. Not all doctors offices have the correct information.
Dr. Sanchez Lapband 9/12/2003
hw305/revision w280/cw197/gw150
Revision from Lap Band to Bypass on 2/4/2015 by Dr. Pohl
Hi, I am lapband to sleeve to RNY over the last 16 years. 5 with band (it prolapsed) 10 with sleeve ( had hernia and chronic GERD) and now RNY. Most of my GERD went away with the RNY. I do have to take an occasional Ranitidine or Tums, but nothing like before.
Before, I was taking two PPI, tums and Ranitidine.
Plus I got the benefit of renewed weight loss. Eating crackers and dry food to resolve GERD will quickly put weight on.
Babs in GA
HW 348 Revision SW 224 GW 165 CW 148
Revision from sleeve to RNY
Pre op: -5 M1-12 lbs M2 11 lb M3-5lb M4 -9lb M5 -2 M6-6 M7-7 M8 -4 M9-5 M10 -2 M11 -2
200 lbs lost and 17 pounds below goal !
Hey there,
im sorry you're having such a hard time finding a surgeon to work with. I would encourage you to contact:
Dr. Keshishian, located in California
Dr. Rabkin, located in California
they are the most experienced wls revision surgeons in the US. I know Dr. K in particular has been able to help people that no one else would touch. They have a video conference appointment where he could look at your scans and get an idea if he could help you.
best of luck!
Just wanted to say good luck. If they denied you because of missing tests, like psych eval, I hope if you submit them that will change their verdict.
Hi
I am new to this forum and wondering if anyone has had any issues with Cigna approving the revision, I had a lap band removed July 2016, currently wanting to get the completed bypass, The Bridges Center stated that I did not need the physic eval or the diet based upon CIGNA's requirements for Revision Policy. I asked if they were sure only because they wanted me to get all the other tests and preop, spent a ton of money only to find out this morning that I was denied because of no diet or physic eval. They set up a Peer to Peer this Friday with Cigna and the surgeon, has this happened to anyone else?
I also had band removed and want bypass. My insurance is saying No coverage as some dx code from testing for band failure and/or removing band was my one per lifetime benefit. Seems I can fight this?
I was scheduled for the pre op tests and psyc eval that I need prior to them submitting for Insurance approval but I am now wondering if I should do tests so they can submit as I need something to fight against (denial) right?
julie
Which insurance? I am also wanting bypass after having lapband removed but it looks like I have a fight on my hands. I have Highmark BCBS.
julie
That's great to hear!
6'3" tall, male.
Highest weight was 475. RNY on 08/21/12. Current weight: 198.
M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.
