Steven1954

I have found tons of useful info here. I ignore rediculas comments.

External. Reviewer ignored low bmi since band removal was due to technical failure

WLS. I'm in NY. I have oxford commercial plan as opposed to exchange thinking about bypass

Normally the insurance co denies the revision. You are having complications which is classified as. "Technical failure of the band" That means you qualified for the orig surgery and you had it removed because of complications. Once you are denied you or your surgeon can appeal. You will prob get denied which is not unexpected. At that point you are allowed an external appeal who is unrelated to Insur co If they deny you your best chances are with LINDSTROM OBESity assoc. You can google them or I can get you their number. NYS has external review. This is your best shot so it must be done right. You need all medical records and documentation showing complications, attempt to lose weight, and ideally while you are waiting for initial appeal, see a nutricianist a couple times to document your weight loss attempts. In have oxford. They denied twice and insurance co was overturned on external appeal

I had my band removed in feb2016. Gained fifty pds since deflated a year ago. Insurance denied twice but was overturned on external appeal. You cannot let insurance co win by accepting their denial. They are in business to make money

If they deny you than appeal until you are approved

Giving up the fattening stuff is the price of thin

Good luck. How did peer to peer go

I had my band removed 2/29/16 after 8 yrs. like most of you lots of damage. Oxford orig denied stage two but had to be convinced to approve by external appeal. They expected me to regain 100 lbs to qualify. However that being said it is better to have two surg The first to take out band and repair damage which might be substantial. And the second stage after healing for RNY. I'm still deciding on whether to go through stage two

How are you doing now. I just came upon your blog. Had similar experience

Nystatin powder. Prescription works best I was getting fungus infections which forced me to get skin removed That turned out to be the best solution

See if you can get medical clearance at the hospital

I've had same problems. Always having band deflated and refilled until major problems occurred. Could not swallow , massive gerd, reflux. Regurgitation to name a few Band has been deflated for six months and experienced 35 lb weight gain. Revising to RNY.