Ugh...bad News! Help!

[mstratto 31]

Well... hopes have been defeated, so hopefully you all have some advice/suggestions. As some know from previous posts/profile, I was scheduled for July 9 revision from band to bypass given that the surgeon determined the band was no longer effective. While I was initially told that my insurance approved the revision procedure from lapband to bypass, I was informed late today by my surgeon's office that the insurance company only approved the lapband removal and NOT the bypass. Things are at a standstill at the moment trying to see if there's anything that can be done by my surgeon to convince the insurance company that it is indeed medically necessary. However, it's not looking good and there's a very strong probability that the bypass procedure will not happen. I hope to see my surgeon next week.

I'll keep you updated as it goes. Things may change, but I will move forward with healthy eating and exercise regardless...based on research and from the evidence on this forum I know the bypass would have been the most effective tool to help me reach my goals. But...as my sister said to me today, "never say die and keep trying."

Thanks for ALL of your support. Any advice/suggestions, please let me know.

[eglean2 24]

I too am awaiting approval for the same. Got a letter requesting more information. Hang in there and definitely keep trying!!

[lorid 13]

I a waiting also for the approval. I've got my surgery date and pre op dates as well. I should hear next week. Good luck all.

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[reshiapooh96 31]

does either of you still have medical issues e.g. H/BP or diabetes?

[lorid 13]

I have high cholesterol and I'm waiting for a sleep study for apnea.

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[reshiapooh96 31]

OH OK, best of luck to you. Keep me informed and I will you!

[FinerWoman 90]

I have high cholesterol and I'm waiting for a sleep study for apnea.

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I'm at my sleep study right now!

[hookieluv 11]

Wow sorry about ur ins. Who is ur ins. I too am waiting to have my band removed and have the Bp done and am fearful my ins may turn me down , I'm on Medicare and medical I'm on disability. Hopeing to have my Bp soon please lord, I feel for you, it would be horrible if they turn me down . It's like my last hope , I'm do sorry and I hope you and ur doctors can find a way around it and get the ins approval