carlak 59 Posted February 16, 2013 Hi once again I am turning to ya'll for advise. I began the journey for lapband in July 2012. I met with a doctor who has a very nice staff, but although the doc was nice and has a good track record his bedside personality was not the best and he overloaded me with information and I left totally overwhelmed. During the consult I was "sold" lapband and plication. They told me upfront that plication was non insurance covered and I would pay an additional fee of $750, I agreed. All my life ive been a chunky monkey. The office submitted my paperwork and I was denied. I wasn't "fat enough" they appealed it once and once again I was denied. They informed me that they had done all they could. I took the bull by the horns and have written letters, made phone calls, talked to people...long story made short on Valentines day I was given a verbal approval!! (still waiting for approval letter). Meanwhile ive talked to a ton of people who have told me about dr #2. I must say that everytime I call his office I get a real person on the first ring. Dr #2 staff said with my insurance I wouldn't have to pay anything out of pocket and couldn't understand why dr #1 said that....anyway I asked if they do plication and was told I would need to attend a seminar, Ok I could do that. What I am scared of though is will that mess up my approval??? I DO NOT want to go through all that again. Should I just go with dr #1 and just do lap band or should I see dr #2 and then make the final decision?? Please yall I need help!!!! Share this post Link to post Share on other sites
carlak 59 Posted February 16, 2013 I forgot the most important part in my plea above. I am now being told that dr 1 no longer does plication due to paperwork and it could be months before he does again, if ever. During the initial consult I was basically told lapband alone was not enough, but now suddenly it is ????? Share this post Link to post Share on other sites
lekanto 50 Posted February 16, 2013 You should be able to get all your records sent from Dr #1 to Dr #2. Check with your insurance to see whether they cover Dr #2 and what hoop-jumping you might have to repeat. Share this post Link to post Share on other sites
Holly Dolly 575 Posted February 16, 2013 I would def give dr # a try! Share this post Link to post Share on other sites
☠carolinagirl☠ 18,721 Posted February 16, 2013 i think which ever surgery you are able to get, you should if its only the lap band, then work the h ell of out it and be a success if you get the band and plication, then again work the he ll out of it and be a success either one you will have to change what and how much you eat to lose weight. you do not need the plication to aid the band to lose weight. many on here do not have it. my dr offered it because my bmi was 62 and i was super morbid obese. he told me it wouldnt work unless i heled the band and plication. i say this only because i dont want you to get hung up on something that may or may not happen. which ever you get, it will work if you help it. 2 CHEZNOEL and Maddysgram reacted to this Share this post Link to post Share on other sites
line-dancer 810 Posted February 17, 2013 why did Dr 1 say that the band was not enough? check with insurance comp if Dr 2 is ok with them and then go see what he is all about. At this stage you cant have to much information check it all out. Share this post Link to post Share on other sites