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Revision 1/2 approved: Band removal o.k. but sleeve not?

TriciaC.

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TriciaC.    11

TriciaC.
Posted

Can someone share with me if it is common for health insurance NOT to pay for the gastric sleeve portion of the surgery but will pay for the removal of the band? My insurance, Blue Cross/Shield determined that the band removal was a medical necessity but he revision to gastric sleeve was not a medical necessity. Has anyone else had this problem but was able to get it resolved? My insurance approved the surgery but says it has to "review" post op whether to pay for the additional service of gastric sleeving. I am not sure if I should take that leap of faith. The sleeve portion can leave me with up to a $25,000 bill.

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