band to sleeve insurance?

scottygyrl · May 30, 2017

I had a band done in mexico back in 2005. My band was causing me pain last year and I got all of the fill taken out and have gained 30 lbs. I am looking into the sleeve revision. I talked to a coordinator at a bariatric hospital who called my insurance and called me back and said I have wonderful coverage and it will cost me at most $100 out of pocket but there is a 6 month supervised diet I would have to follow and my BMI of 36 prob wouldnt be covered because my only comorbidity is fatty liver which is secondary. I asked about my lap band causing my issues and she said I could get it taken out outpatient. Anyway I was a little disappointed but was thinking has anyone had band complications and got the sleeve covered with out doing the supervised diet? I am just wondering if she had correct information because she didnt know I had the band when she called my insurance. I am looking into going to Mexico again but would rather have it done local if covered. Thank you for any replies!

MarinaGirl · May 30, 2017

We can't guide you on your insurance coverage as everyone's is different. Have you called your insurance company to find out if they will cover revision surgery?

scottygyrl · May 30, 2017

I am trying to find the billing code for lo band to sleeve revision and I will call

Jengo825 · June 14, 2017

I am having my band revised to RNY and do not have to do the diet again because I have several serious complications with the band. Also, my surgeons office said that it would be covered by Medicare and BCBS.