Insurance

Michele_2
on 8/28/19 1:59 pm

2 weeks ago I was given a surgery date of 9/27/19.

This morning the surgeon office called to say they see my insurance only allows bariatric surgery once per lifetime!

Meanwhile I have spent countless hours and money for 3 months of classes and dr appointments. Not to mention work I have missed $$$.

I sobbed when told about this. I called insurance, who by the way told me i was covered when i gave the lapband code and revision. They have to review the phone call from April.

So it will be there word against mine. I'm heartbroken ???

Mary Gee
on 8/28/19 4:32 pm - AZ

VSG on 05/14/14

I would follow up on that. If you're having a revision due to problems with band, it could be covered.

Some people look for a revision because they gain all their weight back because they went back to old eating habits. Those revisions are not medically necessary.

Get clarification and work with your doctor's office. Appeal the denial.

Hope it works out for you.