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BCBS...Empire NY under MTA



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Hi all....does anyone with BCBS have experience with 35 BMI being approved...no comorbidities yet...testing for diabetes on Saturday..

I was originally banded in 2008 and had it removed because it cracked and was causing interior abrasions. Because my BMI fell below the required my revision to the sleeve was denied under United Healthcare....(my insurance). I then went under my husbands and (BCBS Empire) and waiting. My BMI is only 35.4 and no co morbidities.....getting really depressed but my internist said he'd write the letter for me as medically necessary. I'm hopeful that and believe and know this is the best thing for my health. D

Has anyone had success with this insurance comp under similar circumstances?

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Just wondering if everything went thru with your insurance? I'm in a similar situation. I was banded in 2004 and want revision. My BMI is 35.1 and I have no comorbidities. My husband has empire bcbs ny thru an NYC union. I'm going for an endoscopy in a few weeks to find out if I have any issues from the band. I'm convinced there has to be something after basically being a forced bulimic for more than 5 years. Hope everything worked out for you. Thanks for any info.

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I have Empire BC/BS and need revision from Band to Sleeve due to complications. I requested approval in September which was 15 months after my original surgery. My BMI was 39.6. I was denied on account of my BMI being below 40 and it not having been 2 years since my original surgery. Friday was my 2 year aniversary to my original surgery and my BMI is back up to 41. I am going in on Wednesday to see my surgeon and will again make a go at insurance approval. Wish me luck!

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