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iagree2shine

Gastric Bypass Patients
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Posts posted by iagree2shine

  4. Posted

    So finally after 3 years of fighting with my past insurance I am approved! I used to have BCBS IL and switched to IL Health Alliance through my employer. They approved me within a few hours! BCBS IL denied me three times and after peer to peer they still didn't approve because they said GERD was not enough to do a revision. Surgery is in three weeks!

    justmetj and Cheeseburgh reacted to this

  7. Posted

    I actually had the same issue. I had a distal pancreatectomy. My cyst was on the body of my pancreas. It was found during routine scans. And you can live without a pancreas. I have the head but it doesn't work. So I am a diabetic now. But i'm grateful to be alive. I did as well lost my spleen due to the location. I'm post sleeve going to bypass.

    Losingit2018, FluffyChix and pssk reacted to this

  8. Posted

    Has anyone dealt with Health Alliance for a revision. Some yrs ago I had BCBSIL and they didn’t even want to cover my hernia repair let alone the revision. So here I am three yrs later trying it again. The only difference is this i Sudan remains requires you to meet all requirements plus have a complication. I’m just nervous of trying it again to be let down and still be in pain.

  12. Posted

    Because my revision to bypass was denied I have deal with my hiatal hernia and my severe Gerd. My Gerd is so bad I'm on at least 4 to 5 different meds and I still wake up throwing up acid. My insurance won't cover anything and was told to treat medically. How do you deal with this? My hernia is ok, I can't breathe very wells and have chest pains but it's there. I knew something was wrong when I went to the gym and couldn't do the elliptical. But my dr told me to deal with it now and learn to maintain it. But how?

    Sent from my iPhone using the BariatricPal App

  20. Posted

    I have never heard that before! And the head of the medical board for bcbsil didn't event want to hear my case and is refusing to allow anymore appeals. We only had one appeal and that was peer to peer. He said the only complication from the sleeve is a leak and not GERD. So I have to go to the Insurance board of IL. Never would have imagined. And he is not allowing them to treat my hernia. He told them to treat me medically and not surgically.

    Sent from my iPhone using the BariatricPal App

  23. Posted

    When I had my first surgery two years ago, they approved right away. Now here it is me having a hiatal hernia you would think they would approve. They stayed due to being out of compliance with the program I caused this. Umm no! The moment I had my sleeve I had heartburn and never went away. But I did wind up pregnant 9 months after surgery due to my birth control failed. My surgeons office have submitted multiple appeals and nothing! I don't know what they want from me.

    Sent from my iPhone using the BariatricPal App

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