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So, I called BCBS on my way to work this morning (Well, yesterday morning, Wednesday). I got denied. They said the only reason was that they didn't have proof of where I've been compliant with diet and exercise after my Lapband surgery. I then called my surgeons office and the RN, Helen, that deals with insurance stuff said she is aware, she already received the denial. She said she feels I've been very compliant and is going to review my file again. Then she said she'll decide whether she will request them to reconsider, or whether to have Dr. Miles himself do a peer to peer review.. I'm bummed... But trying to stay in good spirits that it will all work out in the end. Helen told me that she's super busy this week, but that she will get to it the first of next week and will let me know what's going on. She told me that her and Dr. Miles wouldn't have submitted my case if they didn't feel I'd been compliant. So at least it seems they're going to fight for me. :/

Thank you I appreciate all the kind comments! Sent from my iPhone using the BariatricPal App

Band January 2011. Revision to RNY 11/30/15. Down 46lbs since surgery. Size 24 to 16 pants. Size 3X to XL/1X shirts. Size 40-42DD bra to 38D. Sent from my iPhone using the BariatricPal App

@@Threetimesacharm - I'm not sure how to change that?? I looked before. :/ Sent from my iPhone using the BariatricPal App

@@bandedat19 How are you doing since having your revision from band to RNY? Sent from my iPhone using the BariatricPal App

@@t_marie I had the band for 5 years with many issues. I originally lost 80lbs, but gained back 55lbs from them having to keep taking Fluid out. But I had issues with that dang thing since day 1. But I finally had mine taken out in November 2015 and revised to RNY. I'm so glad I had that horrid band removed!! Sent from my iPhone using the BariatricPal App

@@Steph~L~16 Thank you! Sent from my iPhone using the BariatricPal App

@@suepro How are you feeling?! Sent from my iPhone using the BariatricPal App

@@suepro Thank you! Getting that band out was the best decision ever. I wish you the best of luck! If you ever need to talk or have any questions, feel free to PM me. Sent from my iPhone using the BariatricPal App

Thank you! I feel like the weight loss is super slow, but I don't regret having the revision and getting that dang band out! Sent from my iPhone using the BariatricPal App

Awesome! Sent from my iPhone using the BariatricPal App

@@kaoson2 I did get approved with the peer to peer review! I had my surgery 11/30/15, band to RNY revision. I've lost 47lbs so far. It's a daily struggle, but worth it so far! Sent from my iPhone using the BariatricPal App

I am definitely feeling a bit discouraged right now. I've had the gastric band since January 2011. Since the very beginning, I've had the throwing up/regurgitating. It doesn't matter what I eat. If I have any restriction at all, I'm throwing up 2-3 times per day. My current surgeon (not the one who did the surgery) also said according to the X-ray, my band is slightly higher than it should be, but not technically "out of place". They had to loosen my band, and since then (2 months ago), I've gained about 15-20lbs back. My HW 300, SW 290, LW 220, and CW 270. My surgeon said he'd do everything he can to help me. I've done the nutrition class (again) and the psych evaluation. They submitted to insurance yesterday, and she said I should hear back within 2-3 weeks if I'm approved or not. But I've been reading A LOT of stories of people being denied for revision unless there is a serious complication with the band. I have BCBSNC. The insurance company that originally paid for my gastric band surgery was Tricare Prime, by Dr. William Richards in Mobile, Alabama.

It was something my surgeon requested. Because he said he knew that if we appealed it, it would just get denied again. He felt our best option for approval was with a peer to peer review. Don't give up! And find you a doctor that will fight for you!! Sent from my iPhone using the BariatricPal App

@@redhed - After my denial, my surgeon skipped the appeal process and requested a peer-to-peer review immediately. It took about 1.5 weeks for the review to take place. But he got an approval from that. He got the answer the next morning actually, and I had surgery a month later. Sent from my iPhone using the BariatricPal App

@@Coles85 We're only a few days apart! I just had a revision from Band to RNY this past Monday, Nov. 30. They wanted me to try 4oz of a protein shake last night, which made me a little nauseated. I even used unsweetened almond milk, and took 1.5 hours to drink it all. Maybe my body isn't quite ready to advance yet! How are you feeling? I was feeling AWFUL the day after surgery and was wondering what I got myself into! But the pain has not been that bad really. And I haven't really had any hunger, besides head hunger when I see Taco Bell on a commercial lol

@@mbrown but like any WLS, it's a tool. So if people gain their weight back with bypass, wouldn't you say that they may have resorted back to bad eating habits? You can have regain because of that with any WLS. But for someone that the Band did not work for, Sleeve most likely will not work either. They're both restrictive. Bypass is restrictive and malabsorption both. So it changes everything. I wouldn't want to revise from pretty much the same surgery I had to another one (I.E. Band to Sleeve). I have a friend that's 5 years out with Bypass and is doing wonderful. She of course takes all of her Vitamins daily and follows the plan. She continues to keep all of her weight off, and that's throwing a pregnancy in there too.

The first time they sent it in, it was denied. But my surgeon did a peer to peer review two weeks later and got me an approval. I got the call October 30th my surgery date is December 7th!!

After years of battling with the Lapband, and after months and months of battling with doctors and the insurance company, I am excited to announce that I have finally been APPROVED for my revision from Lapband to Gastric Bypass! My pre-op appointment is December 3rd, and my surgery date is December 7th!! I am thoroughly ecstatic and so nervous!!!

That was probably my goal when I had the Lapband. I'm at 270 right now, and my surgeon said I should lose 100lbs in the first year and another 20-30 during the second year?!? I can't even imagine myself down to around 140-150. ????????