iagree2shine

I'm the 24th, going for revision as well.

We have the same surgery date!!!

Just found out today that my surgery is scheduled for 2/24! This will be a revision from Sleeve to Bypass.

So finally after 3 years of fighting with my past insurance I am approved! I used to have BCBS IL and switched to IL Health Alliance through my employer. They approved me within a few hours! BCBS IL denied me three times and after peer to peer they still didn't approve because they said GERD was not enough to do a revision. Surgery is in three weeks!

Mine had the potential to turn cancerous and I have a family history of pancreatic cancer

I have a non-functioning head of my pancreas, which means it is working as though I don't have one.

I actually had the same issue. I had a distal pancreatectomy. My cyst was on the body of my pancreas. It was found during routine scans. And you can live without a pancreas. I have the head but it doesn't work. So I am a diabetic now. But i'm grateful to be alive. I did as well lost my spleen due to the location. I'm post sleeve going to bypass.

Has anyone dealt with Health Alliance for a revision. Some yrs ago I had BCBSIL and they didn’t even want to cover my hernia repair let alone the revision. So here I am three yrs later trying it again. The only difference is this i Sudan remains requires you to meet all requirements plus have a complication. I’m just nervous of trying it again to be let down and still be in pain.

Because my revision to bypass was denied I have deal with my hiatal hernia and my severe Gerd. My Gerd is so bad I'm on at least 4 to 5 different meds and I still wake up throwing up acid. My insurance won't cover anything and was told to treat medically. How do you deal with this? My hernia is ok, I can't breathe very wells and have chest pains but it's there. I knew something was wrong when I went to the gym and couldn't do the elliptical. But my dr told me to deal with it now and learn to maintain it. But how? Sent from my iPhone using the BariatricPal App

@havetobestrong yes my gerd started literally right when I got off the table. I still have it but now I'm trying to maintain and learn what makes it worse.

@@Tootsietoes I just started omeprazole twice a day and it's been doing ok. Sent from my iPhone using the BariatricPal App

@@swimbikerun the dr I have is the only one bcbsil will cover that's near me. He has fought with my insurance since about May to have the revision but nothing. Bcbsil told him there is nothing more that he can do to fight it. Sent from my iPhone using the BariatricPal App

I have never heard that before! And the head of the medical board for bcbsil didn't event want to hear my case and is refusing to allow anymore appeals. We only had one appeal and that was peer to peer. He said the only complication from the sleeve is a leak and not GERD. So I have to go to the Insurance board of IL. Never would have imagined. And he is not allowing them to treat my hernia. He told them to treat me medically and not surgically. Sent from my iPhone using the BariatricPal App

@@LisaMergs I tried to get his name, bcbsil told me due to regulations I couldn't have his name. I gave up trying, figured easier just to switch to a wls friendly insurance. Even my surgeon has yet to stop trying. I have never heard him cuss a day in my life until he spoke of this man. Sent from my iPhone using the BariatricPal App

When I had my first surgery two years ago, they approved right away. Now here it is me having a hiatal hernia you would think they would approve. They stayed due to being out of compliance with the program I caused this. Umm no! The moment I had my sleeve I had heartburn and never went away. But I did wind up pregnant 9 months after surgery due to my birth control failed. My surgeons office have submitted multiple appeals and nothing! I don't know what they want from me. Sent from my iPhone using the BariatricPal App

Does anyone have Cigna for a revision and didn't have them before? I'm wanting to switch to them but don't want to if they like to give the run around. I'm leaving BCBSIL and heard good thing about them but it was always someone who didn't have any bariatric surgery. Any advice would be loved! Sent from my iPhone using the BariatricPal App

My job said that I can't due to the way our insurance is set up @@Steven1954 and I'm out of appeals and in so much pain. Sent from my iPhone using the BariatricPal App

My finally 30 day wait appeal has been denied! I'm stuck with no real answers. They kept finding things out of no where. I'm out of appeals and my job said I can't go to the insurance board due to the type of way our insurance is. Sent from my iPhone using the BariatricPal App

@@middlebeaver what did you put to. Finally have them approve? Because they are not wanting to budge for nothing. Sent from my iPhone using the BariatricPal App

I'm going through the same thing with BCBSIL, I'm in the 30 day waiting period too. They don't want to cover a revision due to severe GERD or my hernia repair. Sent from my iPhone using the BariatricPal App

I know that's what I've been telling people. It's the insurance that makes it difficult and I didn't know the insurance company can tell the doctors how to treat. Sent from my iPhone using the BariatricPal App

So my peer to peer was denied as well. It was today and my surgeons office called right away. Don't know what else to do. I'm supposed to go speak with them of what can be done next. But this pain I'm in sucks! Sent from my iPhone using the BariatricPal App

I don't know. My center just told me that they have been appealing it. So next step is peer to peer Sent from my iPhone using the BariatricPal App

Congratulations!!!! @@Bobbieswife Sent from my iPhone using the BariatricPal App

I have bcbsil and my approval was really fast. Even though they state 10 business days but it took only 3 days. Sent from my iPhone using the BariatricPal App