jennifer1

I can't believe it has been a month since my revision surgery. What a month it has been. This recovery was so much harder than when I got my lap band. I lost 9 inches and 26 pounds since my pre op liquid diet. I got sick 2.5 weeks post op! OMG that was so horrible! To have to cough with my stomach still recovering was really bad. I had a burning sensation over my largest incision that would bring me to tears. My surgeon told me that the burning was most likely do to a nerve that was caught in a suture and that it would go away once my sutures dissolved, which could take 3 months. If I couldnt take it he said we could do a nerve block! ummmm no! Literally the day after that appointment the burning stopped and has never returned!!!!! I started back in the gym per his orders. I was only released to do cardio so i'll do that the first week and slowly add in weight training. All in all this has been a kinda rough recovery, but I dont regret it!!!

My denials were due to paperwork basicially. Initially i was told the documentation submitted didnt show medical necessity for the removal of my band not that I followed the post op diet and recommendations for the lap band. Next it was because they thought it had been removed in July when in fact it was just totally deflated in July. The peer to peer was denied too, but I never found out why and the last appeal was finally approved! My surgery date is March 14TH!!!!

Just wanted to update you guys that I was finally approved for surgery on Feb 10th! I had my pre-op appointment today and my surgery is scheduled for March 14th! To say Im excited is an understatement. I am so grateful for another shot at getting my health together!

UPDATE!!! I was finally approved after the appeals process and my surgery date is MARCH 14TH! YEAHHHHH!

i just got through this.. i was denied 3 times for the same reason them stating it wasnt medically necessary. my insurance finally approved me on feb 10th. my insurance company basically stated that due to my band slipping it was deemed medically necessary as this was a fault of the band and not me. Do yo u have any documentation stating any type of mechanical failure with the band?

I just wanted to write this to encourage those who are fighting with insurance for approval. I fought with BCBSIL since Dec 2016 til Feb 2017. I was denied 3 times for various reasons, mostly paperwork crap! Don't give up fighting you are worth it!!!!! Insurance companies look for reasons to say no... dont let them tell you know without giving them the fight of their life!! I felt I have been paying my premiums and co pays for almost 4 years and never had anything major.. soooo they needed to pay for this! LOL!

Sooooo I finally got approved for my revision from lap band to VSG!!!! I am soooo excited! I have my pre op appointment this wed. and I will have to speak with the NUT, anesthesiologist and my surgeon. I am hoping my surgery date(which i wont know till wed) is in March!!!

I'm so glad my story is helping you.. Did you decide what you want to do?

omg ihave bcbs as well.. i am going for a revision from lap band to vsg.. i started this process in oct 2016.. had everything submitted in Dec.. was denying 3 times and now its in appeals..when i call they just keep saying it looks like they are going to over turn the denial.. but it's still in proces!! AAARRRGGGHH!!!! soooo annoying!!

Thanks for the encouraging words. i was self pay for my lap band and I'M STILL PAYING IT OFF! My last resort will be to save up and go to Mexico!!!

OK so i was initially submitted to insurance for approval(revision from lapband to vsg) in Dec 2016. I was initially denied because they said I didnt have enough documentation stating it was medically necessary to remove my band nor that I had followed up with the post op diet recommendations after my lap band. I went to meet with my surgeon and he submitted more info per BSBS request. Well they denied it again, this time I was told they thought my band was removed in July 2016.. ummmm no this damn thing is still in me. Sooo they submitted again.. so where along the line a peer to peer happened(which no one even told me we were at that stage), apparently that was denied so now it's in the appeal process!!! It's been like 2 weeks and still no answer!!! Has anyone ever had to go through all of this I have BCBSIL???? Please tell me there is light at the end of the tunnel. Has anyone ever done an external appeal? HELP!!!! #tiredofbeingfat #thissucks #i'msofrustrated

i think you're mentally ready which is an awesome thing! i was like that when i got my lap band.. after the first 3 days..those were rough for me! Keep going!