Wanted to solicit any suggestions from everyone here.
I was preapproved through all the hoops to have the RNY. When i went in to have the surgery, my surgery found tons of adhesions from a previous surgery many moons ago and was unable to do the RNY. We had discussed this ahead of time and the Lapband was not appropriate for me for numerous reasons. She did the sleeve.
My insurance company denied it of course. But after they appealed it and they have denied it again stating it was unproven. They said I could submit a second appeal if I wished.
The issue I have is that my Doctor did not know until she got inside me that she could not do anything. So had she stopped right there, closed me up, i would still have had to stay over night, pay the cost of the surgery suite, anesthesia, etc etc. Instead, I got a positive outcome and have lost 70+ lbs since January.
I am working with my (most excellent and wonderful) surgeon about this.
Any thoughts you all have would be most welcome!!