Pinkgirl1234 761 Posted September 20, 2015 What's your insurance? Share this post Link to post Share on other sites
Liz W 11 Posted September 21, 2015 Don't be. I had identical situation. Lab band surgery 3 years ago and removal this year in March. My was leaking and created a problem. i was twice in the hospital. After 5 months without band i gain 50 lbs!!!! my doctor wanted my to heal first and is office people started to work I didn't have to do anything they took care of it. They contact the insurance and they approved it. Last Tuesday 9/15, I had a bypass surgery. It feels great, no pain, love it. I'm sure you also will be approved, don't worry, talk to your doctor. Good luck I'm so depressed! Don't I deserve a 2nd chance? The removal of my band was approved but the bypass denied. So if I have the band removed, I'll gain a bunch of weight and then where will I be? I've already gained 11 pounds just since all of the Fluid was removed from the band. I am beside myself. I don't have the kind of money to self-pay. Should I fight this? I'm told I need 6 month weight loss documentation -- but the only thing I have are invoices from Nutrisystem where I tried them for 2 months approximately 6 months ago. Will that qualify? I just don't know what to do. Any advice? Share this post Link to post Share on other sites
Tnique 0 Posted September 23, 2015 I just had the same thing happen to me today. They approved my band removal but denied the bypass. They said i didnt show enough weight loss at my appointments. I lost 4 lbs at 1 appt n gained 3 at one. My heart is crushed right now. Share this post Link to post Share on other sites
retzlpa 98 Posted October 21, 2015 My general practitioner and bariatric Dr. both sent letters to my insurance company outlining necessity of band removal and conversion to rny without the customary 6 month program. I was approved in two weeks and surgery scheduled October 26th, 4 weeks after insurance approval. In that 4 weeks I was still required to attend readiness classes and go through the typical physical and mental tests required. In the end it came down to quality of life and expectancy of life for insurance company. So, maybe talk to your Dr's and see if they can help push it through. Good luck. Share this post Link to post Share on other sites
Maraki 23 Posted October 22, 2015 What state are you in??? I had to go through hoops and more hoops and a second round of six months of appointments and tests to finally get a date for band removal and gastric bypass in one day Share this post Link to post Share on other sites
retzlpa 98 Posted October 22, 2015 Live in Wisconsin, insurance is through my wife in Illinois, Blue Cross! Share this post Link to post Share on other sites
Maraki 23 Posted November 17, 2015 My insurance isblue cross and there are a lot of copays out of pocket after insurance payments Share this post Link to post Share on other sites
retzlpa 98 Posted November 17, 2015 How strange! I had met my out of pocket deductible for the year, so i had nothing to pay. But I had to pay near $20,000 to get to that point. I personally think because my primary Dr. and WLS Dr. both wrote letters to the insurance company explaining my health situation (less than 5 years to live), and the cost to treat me, the insurance company could see the dollar signs involved. Just my thoughts! Share this post Link to post Share on other sites
Bobbe Schu 53 Posted January 7, 2016 FINALLY AFTER MANY MONTHS MY REVISION SURGERY HAS BEEN APPROVED!!!!! THANK YOU WALTER & KELLEY LINDSTROM, Lindstrom Obesity Advocacy, FOR NOT GIVING UP AND FOR MAKING THIS HAPPEN! I'm so excited I can hardly stand it. 2016 is going to be a year of wonderful changes in my life! Share this post Link to post Share on other sites
Bobbe Schu 53 Posted January 7, 2016 FINALLY AFTER MANY MONTHS MY REVISION SURGERY HAS BEEN APPROVED!!!!! THANK YOU WALTER & KELLEY LINDSTROM, Lindstrom Obesity Advocacy, FOR NOT GIVING UP AND FOR MAKING THIS HAPPEN! I'm so excited I can hardly stand it. 2016 is going to be a year of wonderful changes in my life! Share this post Link to post Share on other sites
Pinkgirl1234 761 Posted January 7, 2016 FINALLY AFTER MANY MONTHS MY REVISION SURGERY HAS BEEN APPROVED!!!!! THANK YOU WALTER & KELLEY LINDSTROM, Lindstrom Obesity Advocacy, FOR NOT GIVING UP AND FOR MAKING THIS HAPPEN! I'm so excited I can hardly stand it. 2016 is going to be a year of wonderful changes in my life!My congratulations!!!!!!You never gave up.I am so happy for you!!!!! Share this post Link to post Share on other sites
betrthnever 107 Posted January 7, 2016 Yeah Bobbe! Great to hear! The revision has been the best thing and so much easier then the band itself. Share this post Link to post Share on other sites
UsernameTaken 283 Posted January 14, 2016 FINALLY AFTER MANY MONTHS MY REVISION SURGERY HAS BEEN APPROVED!!!!! THANK YOU WALTER & KELLEY LINDSTROM, Lindstrom Obesity Advocacy, FOR NOT GIVING UP AND FOR MAKING THIS HAPPEN! I'm so excited I can hardly stand it. 2016 is going to be a year of wonderful changes in my life!My congratulations!!!!!!You never gave up.I am so happy for you!!!!! Congrats on approval! What insurance do you have? Share this post Link to post Share on other sites
CheriB78 4 Posted January 14, 2016 Same problem with me, everything was going good and they have made me jump through hoops and I am waiting for the final chance for RNY revision Share this post Link to post Share on other sites
Bobbe Schu 53 Posted January 14, 2016 United Health Care Share this post Link to post Share on other sites