Highmark BCBS of Delaware:Band to sleeve revision

[samnic 0]

Help!! I am wondering if anyone has any experience with Highmark after having a revision. I am looking to have a band to sleeve revision but I am concerned that it may possibly not be covered due to my current BMI which is 35. According to my plan coverage it states it will be covered at 35 with at least 1 co morbidity if there was failure to lose weight or complications which I fit.

My concern is the co morbidities. I have had sleep apnea when I was diagnosed prior to banding 5 years ago but unsure if I do currently .. although my husband and kids say I am snoring really loud now again.. but I haven’t had and new sleep studies. I really need to get this surgery done and I don’t want to disqualify myself for insurance payment. I really don’t want to gain weight ..any suggestions or input on what I should do!!!!!

HELPPPPPP!!!!!!!

[Chello219 2]

I would say contact your insurance company and speak with someone about your benefits. Ask them what the clinical steps are for you to have your revision. Usually they can give you the specifics of what your clinical qualifications are. Good luck!