Band to sleeve....insurance question

[melanies 3]

Hi everyone! I got banded in 2007 and am looking into revision to sleeve. I had to do all the pre-qualification stuff for insurance coverage before my band. For those of you who got covered by insurance to do revision, did you have to do all the pre-qual stuff again? I have BCBS.

[lolarose13 147]

Hi! I had my revision from band to sleeve June 6th, and yes, I had to good through the whole process again. I have BS of Califirnia. Good luck!

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[bellasmommy99 48]

Now I didn't because I had a band failure. If there is anything going on with your band like slippage, erosion of esophagus, reflux that has been ongoing even with medication and you have a good surgeon and his insurance staff are advocAting for you and not their pocketbooks you should not have to jump through as many hoops as the first time. It is coded under a medical necessity.

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[melanies 3]

I did have issues with my band for the first 3 years. It was drained completely and then I never went back to refill it. I had obstruction issues, vomiting, and what I believe is lap band failure. I think my first step might be a barium x-ray to check band position? I have met with my doctor and she is checking into the insurance coverage for me.

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[nina1562 35]

I just got sleeved June 23rd and I had to go through all the process again...good luck

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[Shaunie 123]

I had the band done in 2008 and removed in 2015. Going in for gastric bypass july 5th! Yes I had to do all the pre-qualifications again. I had Havard Pilgrim then now Tufts same requirements.

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[Shaunie 123]

Also my band had prolapse still required all pre reqs!!!! My surgeon would not do surgery without pre recs...

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