HELP!!!

babysandy_33
on 9/4/13 8:44 am

Hello everyone I'm new to this so here it goes. I have a lap band that has slipped causing me a lot of grief. I also have a gallbladder that needs to be removed . I would like to have my gallbladder removed and have a band to sleeve revision the. Deal is my insurance won't cover the band coming off and it won't cover the sleeve. What I'm I to do! Does anyone know of a doctor there that will help me, I am Desperate living on a hope and a prayer. Buy the way my name is Sandra I'm 33 years old

cool

Saundra P.
on 9/4/13 9:27 pm - Mesquite, TX
If your band has slipped at the very least insurance cover to have it corrected.
Ask your surgeons office to help you fight insurance to cover band to sleeve based on complications.

Saundra
VBG - 12/02/96   (High weight 283)
Revision to RNY - 06/11
/09 (Start weight 219)

Goal for weight to always start with 11*
 
At Goal - maintaining between 115 - 119
 
 

Vivian Prouty
on 9/4/13 11:12 pm - Fort Worth, TX

Hi Sandra and welcome to the Texas Message Board ( TMB ).     I agree with Saundra.    Fight your insurance co.   That is a complication and if that band doesn't come out it will cost them more $$$.    I am sure that they could probably do all your surgeries at one time.   In the mean time you will be in my prayers that all will go well with your situation.    Please keep us updated on your situation.    

Hugs and blessings ~~~ Vivian

GOD GRANT ME THE SERENITY TO ACCEPT THE THINGS I CAN NOT CHANGE;   COURAGE TO CHANGE THE THINGS THAT I CAN;  AND THE WISDOM TO KNOW THE DIFFERENCE !!!!    THIS IS MY DAILY PRAYER.
Vivian Prouty      Obesity Help Support Group Coach  "LOSE IT 4 LIFE"


 

babysandy_33
on 9/5/13 7:37 am

I think it has to do with the doctors office not coding it right. Have any of ya'll heard of good things out of Dr.Castor at Methodist hospital?

 

TraceyC
on 9/6/13 12:08 am - DFW, TX

My original thought was that the drs office didn't do something right on your insurance report/paperwork. A slipped Band could be an emergency if not removed. As far as a second WLS, that truly IS at your insurance's discretion. Sometimes an appeal will help with that. Is it possible to correct the slip and leave the Band in place while you appeal the Sleeve surgery? At least you'd have something in place in case you get completely denied or it isn't a coverage on your benefits.

I see Dr. Smith in FW and think very highly of him.

Good luck!

Tracey

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