I'm In Tears :(

[Jammy 24]

Usually insurance companies will make exceptions for revision patients. For example, my policy "requires" a 6 month supervised diet. But even though my band has been out for more than 6 months, the requirement was waived.

Have you actually filed and been denied, or are you just reacting to the verbiage in your policy?

I know a lot of people who have had revisions from one procedure to another. The BMI requirement is usually waived. I actually don't know of a single case where a revision has been denied because the BMI requirement is not met. That certainly doesn't mean there aren't a lot of them out there... just that I personally haven't seen one.

super upset here. I'm a revision patient. got my approval denied. going through appeal now. BMI is 39.8 and they're denying it based on a BMI below 40 and that it hasn't been 2 years since surgery. (15 months isn't enough I guess). super upset!

[Wheetsin 714]

What insurance do you have? (If you don't mind sharing, or you can PM if you don't want it public.)

I was under 40 BMI when my insurance was submitted. My first request was denied, but not because of BMI. My appeal was approved, but long story short I'd changed providers by then. Still under 40 when we submitted to the 2nd company, and I was approved first time around. My father was approved for his WLS revision with a BMI around 30! (He'd been through some serious misery with food intolerance and gastroparesis, and was ridiculously thin).

Can you share your insurance company's requirements? I can't promise that I'll be able to help, but I can try to give you some suggestions.

super upset here. I'm a revision patient. got my approval denied. going through appeal now. BMI is 39.8 and they're denying it based on a BMI below 40 and that it hasn't been 2 years since surgery. (15 months isn't enough I guess). super upset!