Kiki1313

So i found out today that my insurance denied my surgery. Im so depressed. Ive been crying almost all day. I just want my life back. This is so frustrating and i have no idea what to do.

Thank you. I am so happy about the baby but i don't know why i feel like i am a bad person for wishing they would havw approved the surgery months ago. Im leaving my job with the insurance that approved yhw surgery finally and i dont know how thats gonna work with my soon to bw husbands insurance for next year. He has blue cross blue shield of Texas and i dont know if they have bariatric benefits. Im on an emotions roller coaster and im scared that im never gonna be able to have revision surgery with a new baby on the way.

So i write this with mixed feelings today. I finally got approved for my revision surgery after months and months of waiting. I gave up. But now i can't have the surgery because i am pregnant. I am very disappointed that i couldn't get the surgery sooner but i am definitely so happy to be having a baby. I guess ill have to wait a year now.

Im still waiting for word on the appeal. I hate bcbs. They are ridiculous. I cant believe they dont have anyway of getting in contact with the appeals dept except by mail....snail mail. I was told they dont have a number. So basically theres no way of knowing whether or not it actually made it into the hands of anyone. And they said id recieve a letter after 30 or 45 days telling me their decision. If i haven't heard anything by then, then they can supposedly email the dept but i have to wait the allotted time. Its so frustrating and i have completely given up hope. I have gained so much weight in the process and at times i feel so worthless. wish i had never gotten that horrible band. Worst decision i ever made!

@@forabetterlife i haven't heard anything just yet. It will be two weeks this Tuesday so im hoping i hear something soon. I've been calling and bothering my insurance company and i don't think that's helping. So I'm leaving it in God's hands and praying that they have enough information now to move forward with the pre authorization for surgery. Apparently it wasn't an appeal. It was a pre authorization process for surgery. Im guessing now if they don't have info they need then we do an appeal but im confused on the whole thing. The pain gets a little more sharp everyday and im hoping this nightmare is over soon.

So after being so disappointed with my insurance company denying my revision surgery, i got some much needed support from my advocate. She reassured me that we would find a way to get it approved. She also had me write a plea letter and has sent out all the information needed for appeal. I am praying that the decision is overturned and that ill be having surgery soon. The pain from this band is sometimes more than i can take and i struggle with it everyday. For now, i will try to continue to look on the bright side and know that this fight is not over yet!

@@virgo66 i did have all the fluid removed and now i dont have problems eating but i still have terrible pain at the port site and in the center of my chest. Its hard to describe the pain. I just want this band gone.

@@Djmohr i love that about this forum. I find answers to questions i have and also find support when i most need it. I hope to make friends on here because i have cut so many ties with people i used to call friends. Cut out all the negativity in my life.

@@Djmohr thank you for always being so encouraging. I see many of your posts on here and you always offer words of comfort to not only myself but others who need and appreciate it. You are wonderful!

Thank you hun. Im trying to stay positive but its hardim hoping everything turns out well with the appeal. Just i know that if i get my hopes up again just to be let down, its going to devistate me. Hopefully i can gain support thru this group of people. I know everyones responses have already helped in so many ways. Glad i joined this forum.

My insurance advocate at my doctor's office is sending in the appeal this week. She said it should hopefully go thru and that it shouldn't take more than 2 weeks to find out an answer. I feel like I've been waiting forever already. And yesterday I just cried practically all day long. Im so depressed over this decision.

Thank you ladies for being so positive. They said they would only repair the hernia i have. They said it wasnt necessary to take out the band and do revision to bypass. But that doesn't make sense to me since the band caused the hernia in the first place.

Hey all. My name is Kiki. Im fairly new to this forum and have been mostly reading posts and gathering much needed information. I want to learn as much as i can about people who have had revison surgery, especially those with band to bypass. In 2007, i was in a terrible car accident and was bleeding internally. My spleen was hemorrhaging blood into my liver. They had to put a stint to stop the bleeding and it worked. In 2012, i made a decision to have WLS. After my first consultation with my Dr, i told him i was interested in gastric bypass and he thought that was the best choice for my weight at the time. I told him all my history and about the accident and he said he'd have to look into it before moving forward. At my next appointment he told me that i would not be able to have gastric bypass because of the stint from my spleen to liver dor fear of blood circulation being cut off to aplee spleen and and the organ in turn dying and causing complications or death. Of course this was so disappointing but he did say that lapband sugery would be safe because it would not cut off any blood supply to vital organs. I went ahead with lapband hoping to make the best of it. Looking back today, it was the worst decision i ever made (next to ex husband lol). I had constant issues with it. I've gone back and forth with weight. Been so sick with reflux and vomiting after every meal. Ive had countless fills and unfills. Its been such a disheartening journey. Although i did loose weight with the band, it was not easy and extremely painful. In 2013, my Dr told me they had been doing research about my situation and came to the conclusion that i would never be able to have gastric sleeve but it would be possible to have bypass surgery because blood vessels would not be restricted in that surgery. I didn't know whether to be happy or upset that we didnt do that surgery in the first place. He said we could do revision but almost in the same breath he also mentioned that he was retiring from his profession and moving to north texas. I was not comfortable with the other dr in this practice and never went back. Now 2014 and i am now seeing a well known dr here in south texas who has performed wls on several of my friends. He is willing to do revision surgery to bypass and said there should be no problems but im still really scared. I know i want this lapband gone and i desperately want to continue my weight loss journey and be successful. I feel like such a failure. Anyway im just waiting on insurance to approve revision surgery. They said id have an answer by this Thursday. Praying they approve it and i can have it in march. If anyone has advice or has heard of this situation please let me know. Id love to hear anything back. Thanks and so glad to be a part of this community and tell my story....finally.

So i found out today that my insurance denied my surgery. Im so depressed. Ive been crying almost all day. I just want my life back. This is so frustrating and i have no idea what to do.

Hey there. Good luck with your surgery. Im so nervous also buy anxious as heck! Anyway, i have a lapband currently and want to revise to gastric just waiting on insurance approval. And im also hoping that it can be done all at once. I would hate to wait so long to have the revison. Anyway, why did you have to wait so long? Was it a stipulation of insurance or just doctors orders? Anyway, good luck hun. This site has been really helpful to me so far. Hope you are finding to useful also.

So excited and nervous! I hope i get approved to start my wls journey as soon as March. Fingers crossed :-)

Im having revison surgery from band to gastric so i hope my insurance approves it and it can be done all at once.

I've had nothing but problems and now have a hernia caused by the band. And i have gained back all the weight lost. It has been so disheartening.

I had the band and regret that decision everyday. Waiting for approval on revision surgery to bypass. Hopfully all goes well. If you have any questions for me, im more than happy answer. Goo luck.

Hello there. I have the lap band and i want a revision to gastric since ive had the band and have had so many probelms with it. My egd revealed i have a hernia. Im so confused because i dont know what this means. I also have bcbs and my copay was 500. Im hoping that im still able to have the surgery but scared they wont cover the revision part of it. I want this band gone. Worst mistake i made to date. Anyway, have you had a weight loss surgery already?

I was banded in September of 2012 and i lost a total of 103 l s. I recently started having much pain and decided to have all the fluid removed from my band. On Friday i had an egd done and they said i have a hernia. I am so confused as i wanted to have a revision to gastric bypass but dont know what they are gonna do now. Had anyone had this type of problem???