shiannajohnson

So I originally had the sleeve in 2018 with a doctor by the name of Dr Steiner in a town about an hour from home. I did well for about 3 years, went from 305lb to 212lb. Not that Im making excuses, but I work in healthcare and COVID took a huge toll on me and my health. I was working long hours and without breaks so I began snacking on anything and everything whenever I could. Of course Ive gained quite a but of weight back as I am now back at 250lb. A new bariatric office opened about 30 minutes from me and I decided to go see them to see what I needed to do about the weight regain, along with the severe GERD that I have developed. The doctor was nice but he just couldn't get anything approved with my insurance. He also did an EGD on me which showed that I had H pylori and he never treated me for it. After that I decided to go back to my original surgeon an hour away from home because they were always so nice and helpful. So Im back with the original doctor now that did my sleeve. He says I definitely need a conversion from sleeve to bypass to help with the GERD and weight regain. It was a no brainer to them. So my advice would be, dont be afraid of getting a second opinion. BUT 9/10 times the original surgeon will know more and do more for you than a new one.

Hello! Has anyone ever been able to get a conversion surgery approved on an insurance that has a "once per lifetime max" on bariatric surgery? I had the sleeve in 2018 and now suffer from severe GERD/acid reflux. No meds are taking care of it. The insurance has denied the claim once already because its not "medically necessary". Anyone know of tips or tricks?