Insurance and Revisions

[mrlddst 0]

I wanted to know if anyone had any luck with insurance approvals on revisions, specifically those that do not include removal of the band. I'm asking because I have AETNA POS and they approved my revision but when I went in for surgery all the surgeon could do was remove it. They plan on trying to do the revision later. Will I have to apply again? Do the diet all over again? I'm confused, especially since it was too difficult to do both at the same time.

[luv2laugh 0]

I'm in a bind myself. I have United healthcare, and had no problem getting my surgery paid for in 9/07 since I was morbidly obese.

On 11/5/09, I just had a revision surgery to remove/replace my LAP-BAND® VG to a LAP-BAND® APL... Doc said I was all set. I called and they didn't say I wasn't covered.

Today, I just rec'd a letter from UHC saying my surgery is NOT covered. WTF???? :thumbup:

I am very upset.. I HAD to have the surgery. It was NOT optional. Their reason was that I was NO lONGER morbidly obese, and therefore was not able to get the surgery!

Not too mention, without the surgery, my stomach had prolapsed up over my band, and 1 night I coudn't even swallow my own spit....

Will keep you posted.

Brenda

[mrlddst 0]

Let me know how it goes. I looked at my insurance coverage for wls and it says that a revision is always covered, so I didn't have any problems with that part. I'm worried about having to get approval to get the original surgery again though.