Lapband/ Revision/ Gastric Sleeve?

[carbgrl 119]

Anyone pay out-of-pocket for the lapband and later get insurance to pay for revision? I paid for lapband out of pocket now, gained weight back. I'm considering sleeve but can't afford to pay out of pocket again. I paid out of pocket for the lap band because I didn't want to jump through all the hoops for insurance.

Anyone else with a similar situation?

[Wheetsin 714]

Paying for the lapband yourself isn't a reason to deny coverage on a sleeve, in and of itself.

You would still have to prove the revision is medically necessary (your insurance company will have the criteria that must be met), would still have to be fully covered for the procedure, etc.

I'm trying to get approval for a revision, but my insurance company paid for the band. I'm with a new provider now, trying to figure out how the heck I can prove necessaity when they won't tell me what consitutes adequate proof. It's like, "Guess, and then we'll let you know how you did."