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Everything posted by T.Daelynn
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Hi, I just sent you a pm to be added, I just got approved today! It took less than 24 hours for a revision approval. Approval is scheduled for 4/16
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Revision approved in less than 24 hours! UHC
T.Daelynn posted a topic in Revision Weight Loss Surgery Forums (NEW!)
My doctor initially told me that the insurance probably wont cover a revision until after I complete a 6 month supervised diet. I was shocked when it was approved in less than 24 hours! My doctors office sent the paperwork over at 4pm yesterday and I received a call today at 11 am saying it was approved! I'm scheduled to get the sleeve on 4/16. Background: I had the band put in July 2011, it slipped in July 2012 (stayed unfilled until January 2013)and slipped again in March 2013. My BMI is 36, I have mild sleep apnea and have gained 15 pounds since original surgery. I had all my documents from my July 2011 surgery so idk if this helped approve this or not. My officemate had her lapband slip and had a revision to bypass in January so I think it's awesome I have someone to share this journey with! Keep your hope up! -
I had my lapband surgery in July 2011. It slipped in July 2012 but it fell back in place once the Fluid was removed. I had it refilled the last week in December and it slipped again last week. I only had it filled for about 2 1/2 months before it slipped again My doctor wants to remove it and would like to do a revision to bypass or the sleeve (my choice). My question is, how hard is it to get approved for a revision due to mechanical failure? I'm worried because my bmi is 36 with no co-morbities. I'm the same weight as I was before the surgery. I have priority partners in Maryland. I was self-pay for my lapband. Thank you!
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How difficult is it to get insurance to cover revision from lapband to bypass due to mechanical failure?
T.Daelynn replied to T.Daelynn's topic in Revision Weight Loss Surgery Forums (NEW!)
I also didn't have a food diary for 6 months:( I was thinking about creating one for the past 6 months, maybe that will help with my appeal. Ugh wish I kept one -
How difficult is it to get insurance to cover revision from lapband to bypass due to mechanical failure?
T.Daelynn replied to T.Daelynn's topic in Revision Weight Loss Surgery Forums (NEW!)
Denied:( they approved the removal of my band but not a revision due to my bmi being 37 with no comorbidities. They said I have to start all over again.... Supervised diet for 6 months etc.... (Which I won't get approved anyway cause bmi is under 40) I was self pay for the bank 1 1/2 years ago.... I'm devastated. -
How difficult is it to get insurance to cover revision from lapband to bypass due to mechanical failure?
T.Daelynn replied to T.Daelynn's topic in Revision Weight Loss Surgery Forums (NEW!)
Thanks for the responses! I'm worried that they will remove the band and not approve the new surgery