Last minute change

[Meley24 18]

Has anyone changed their type of surgery after insurance approval? For example, say my insurance approved the sleeve but I decided afterwards on the bypass, is that going to be a problem for the insurance to pay out?

[GreenTealael 25,339]

9 minutes ago, Meley24 said:

Has anyone changed their type of surgery after insurance approval? For example, say my insurance approved the sleeve but I decided afterwards on the bypass, is that going to be a problem for the insurance to pay out?

Your team may need to submit for reapproval. Maybe not. I cant remember for absolute certain but i had to sign a clause that allowed my surgeon to convert from laproscopic to traditional open surgery, from VSG to RNY during surgery in the event the need occurred. Not the same for you but there may be allowance is my point.

But it really does depend on practice, insurance policy and the specifics of what they cover. Usually RNY is no problem to cover and VSG was always an issue as it was a newer procedure. Ask right away to avoid further delays!!!

[BeeCat 99]

I had originally wanted the sleeve when I met my surgeon. After doing some more research I changed my mind and elected bypass, My surgeons office needed to know for sure which surgery we were doing before submitting it to be certain the insurance would pay for it.

[sillykitty 10,774]

I would not risk it, and have it resubmitted. I'd want to make sure I am approved for the surgery I am receiving.

[Meley24 18]

Thanks everyone, I'll notify my surgeon right away.