Question:
What are the chances on an insurance company repeating gastric by-pass surgerry

I had "long gastric bypass surgery in 12/95. I was in congestive heat failure. I weighted 343lbs. I lost a totaled of 90 lbs. I had several angioplasty done and 4 way by.ppass in 8/97. I had a stench in 6/200. I go to school full time, but I am not a big execersiers. Lately I have more enrgry and desire to be more active. I have been having alot of abdonal oainn. I am taking tests to see if it is my gallballer or if some of the stples have loosen from my pouch. The surgery states this could have haooen if I didin.t follow a strict pureed diet foe the first month over five years ago. I hae my doubts. He says if it is he will tel me about the high risk complication of repearing the surgery. Can someone enlighten me about the risks involved and if they have had this obstacle how did they dealwith the insurance comapnies. I have Trigon of Illnions as a primary and medicare as a secondary. Thanks for any information that anyone can offer.    — [Anonymous] (posted on January 30, 2001)

January 30, 2001
I had a revision to my original bypass about a year ago. The staple line had disrupted, which unfortunately, is quite common. My ins paid, and never batted an eye. When I talked to the guy, he said, "Just a repair? I don't see any problem with that." WHEWWWWWWWWW! BUT that was MY ins. There's no guarantee with yours. Most of my friends have had very little problem getting their ins to pay for revision for mechanical failure, if they covered the surgery at all.
   — vitalady