I've been on the road to revision from Band to RNY since October 2015. It's a loooong story. Here are the best parts:
After finally qualifying with my surgeon for revision surgery in November 2016, I was denied coverage by my insurance carrier (BCBS IL) on 11/30/2016. My surgeon did a peer-to-peer review on 2/1/2017 which was denied as well. Since I only had 180 days from the original denial to file an appeal, I knew I had to do something drastic. In April I hired Kelley & Walter Lindstrom from the LINDSTROM OBESITY ADVOCACY group. They're lawyers who have specialized in WLS appeals.
From April to June we had to go through a 2nd level of appeals which was again denied. At the end of July, my case finally went to an external review board. I received my official approval on September 1st, 2017!!
Throughout this whole process, Kelley has stayed in close contact - keeping me apprised of each step and calming my fears. When I first applied to them she told me they would only accept my case if they thought they could make a difference. Both her and her husband were so helpful and caring. They have a real passion for helping people get the WLS they need.
If you're having issues with your insurance company, please consider them. I think you'll be very happy with the results!
http://wlsappeals.com/
https://www.facebook.com/LindstromObesityAdvocacy/