GA peach

I have the same type of hernia. I am a band patient who was hoping for the sleeve. Now the doctor has suggested gastric bypass. I'm now waiting for approval.

Had all my fluid removed from my band last week and had an upper GI done today. Although its not official, the tech did show me I had reflux which is why food seems to be stuck. It was rough trying to swallow the barium. I'll have to wait for the doctor's official report. I'm hoping & praying that will now be enough proof for approval for the revision.

Ok thanks!

Yes, I've had an EGD. It showed gastritis. I am going to the surgeon's office next week. Hopefully they will document enough this time to win an appeal. I'm so sick of this band. Can't get a fill because it causes issues & at the same time, I keep gaining my weight back because I need one.

Thanks for all the advice. I have an appointment next week with surgeons office. I will follow up as much as possible to document a malfunctioned band & file my appeal. I am hoping & praying I can have the revision before this year is over.

They denied my revision....Sad part about it, I work for them. I plan to appeal.

Thanks for the advice!

I called my advocate but she had left for the day. I did leave a detailed message. Hopefully I can see what's going on & start the denial process immediately. Thanks for the replies and advice!

Insurance stated band didn't show any malfunction. So I guess vomiting & food getting stuff is not justifiable. I'm so irritated & stuck with this piece of plastic until I can get something done. I plan to appeal. ..any suggestions on how to write the most justifiable reason to get this thing out of me. Thanks in advance

Was for revision surgery or an initial WLS? Its been a week and I haven't heard anything. ...It's getting a lil nerve wrecking!

I have Humana. I'm hoping to get approved for revision surgery (from lapband to sleeve)

Good luck!

Mine was submitted on the 2nd but when I called the insurance company on the 9th, they said they haven't received anything. Called the doctor's and they resubmitted again. I called on the 10th to make sure they got it. (Which they did). The insurance rep said they sent a message back to the doctor's office stating they were missing my EGD and gall bladder US. So now I'm waiting on that to be sent. This process has been a test of my patience.

I'm waiting with you too! My paperwork was submitted to the insurance today. Good luck to you.

Hi Katherine I went back to my original surgeon's office. I am really hoping to just have one surgery but I know it will have to determine the condition of my band. Insurance only covers 50/50. I am hoping to have my surgery sometime in July.