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Mburk72

Pre Op
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    48
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About Mburk72

  • Rank
    Advanced Member

About Me

  • Gender
    Female

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  1. Removing lap band, and converting to sleeve in one procedure, how long will I be in the hospital? Sent from my XT1254 using the BariatricPal App
  2. I am having my lap band removed, and converting to the sleeve, how many days will I stay in the hospital? Sent from my XT1254 using the BariatricPal App
  3. Mburk72

    San Antonio anyone?

    Hi I'm from San Antonio and had a lap band April 2015, lots of complications, having it removed, and converting to sleeve, should be schedule next month may 2016 with Dr. Wright at Metro Sent from my XT1254 using the BariatricPal App
  4. Hello Sent from my XT1254 using the BariatricPal App
  5. Mburk72

    Aetna

    The sleeve is the more expensive procedure, so most doctors will go ahead and take out the band if that's what u want, during the time of the sleeve. I work in the OR, the removal of the band doesn't require anything extra that isn't already there for the sleeve. Sent from my XT1254 using the BariatricPal App
  6. I decided to call the insurance again to get a status update, I figured I'd call them everyday until they got tired of hearing from me. They said they sent a letter to my doctors office asking which hospital I would be having surgery, that I only had benefits at one of their selected hospitals, luckily my hospital is on their list, and she said that was the only information they needed, I'm hoping that means an approval soon. Sent from my XT1254 using the BariatricPal App
  7. Mburk72

    Frustrated over Insurance Denial

    This is what I am worried about. BCBS may not think my revision is medically necessary. So the doc is going to have to make the case that I've been vomiting for years and have already had one slipped band (not this current one tho as I had an upper GI-all looks ok) and a hiatal hernia. The other band was replaced under a previous insurance. It is REALLY going to suck when/if my husband has his sleeve and I'm still stuck with the band that is nothing but trouble.What state are u in, bcbs is different in each state. Your story worries me because I have Bcbstx and I'm currently waiting on insurance approval to have my band removed, and revise to the sleeve. Bcbstx does pay for first surgery, 2nd and revisions, they list requirements for each. I meet their requirements for 2nd surgery which would be removal, and I also meet revision if I have slip, dilation or erosion. My surgeon says I have some slip, just don't know if it's enough for them, so I'm still waiting to see what they say, its been 1 week since documents where submitted Sent from my XT1254 using the BariatricPal App
  8. Mburk72

    Regrets?

    I had the lap band and only my husband knows, not even my kids. I'm having the lap band removed due to some serious complications, and at the same time revising it to the sleeve, and again the only person that knows is my husband, and my co workers that will be on my team, I work in the OR. Maybe in time I'll tell others but don't see why I need to. Sent from my XT1254 using the BariatricPal App
  9. Mburk72

    I have lots of questions...

    How much does it cost in Mexico, do they file insurance, do u trust having it done in Mexico? Sent from my XT1254 using the BariatricPal App
  10. Mburk72

    BCBSTX

    I called, they said it's still being put into the system and they have 30 days, unless your office submits it as urgent, ughhhSent from my XT1254 using the BariatricPal App Oh crap. That really, really sucks. I feel for you. I'm a very anxious person by nature and a total worry wart. And our cases, being revisions, are a bit more complex and expensive which i am sure bcbs isn't quick to approve. It may be a longer wait for me too and not so fast like my husband's.Update, recalled bcbs today in the afternoon, got a much nicer operator, she apologized for it taking so long and said give them another few days and I should have a answer by next week, now that's more like it, even if that isn't true, its at least what I want to hear. Sent from my XT1254 using the BariatricPal App
  11. Mburk72

    BCBSTX

    I called, they said it's still being put into the system and they have 30 days, unless your office submits it as urgent, ughhh Sent from my XT1254 using the BariatricPal App
  12. Mburk72

    BCBSTX

    Because my surgery is a revision, removing band, and revising to sleeve Bcbs has different requirements then when you originally have a procedure. I know I won't have a problem with insurance for the removal, but the revision I'm just not sure, its only been a week and I'm already tired of waiting for an answer Sent from my XT1254 using the BariatricPal App
  13. Mburk72

    BCBSTX

    I have thyroid disease, I'm pre diabetes, my insulin levels are high, and have sleep apnea. I have no idea what was submitted to the insurance in the form of what they told them. I don't think I will have a problem with getting the lap band removed, but the revision is what I'm not sure about. Sent from my XT1254 using the BariatricPal App Where are y'all from, I'm in San Antonio, TX. Sent from my XT1254 using the BariatricPal App
  14. Mburk72

    BCBSTX

    I have thyroid disease, I'm pre diabetes, my insulin levels are high, and have sleep apnea. I have no idea what was submitted to the insurance in the form of what they told them. I don't think I will have a problem with getting the lap band removed, but the revision is what I'm not sure about. Sent from my XT1254 using the BariatricPal App
  15. Mburk72

    BCBSTX

    My doctors office submitted my documents to bcbs last week on Wednesday the 13th, so I'm waiting to see if they will approve the band removal and sleeve revision. My surgeon wanted to do it in two procedures, but didn't want to chance the band being removed and then them not paying for the rest, so it was submitted all together in one procedure. I'm a surgical assistant and have assisted in many of these cases, so I know the ins and outs of the case. The only difference in one procedure and two is when you so both steps in one procedure your raising the risk of a leak, BUT the raised risk is still very low, so I'm not worried about that risk. When surgeons do it in one procedure, they just use a larger staple line, and reinforce it with suture. I don't want to go through two procedures, two recoveries, be put under anesthesia twice, have to take off work twice..Just waiting on insurance, its making me a nervous wreck Sent from my XT1254 using the BariatricPal App

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