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Gigi_Girl

LAP-BAND Patients
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Everything posted by Gigi_Girl

  1. When you had your second band put in, was the post op recovery and healing easier or worse than after your first band? I am looking at having my band removed and replaced on August 20. (My current band is leaking and won't hold any fluid past a month.) Curious to hear others perspective.
  2. Talk to your surgeon to find out if the band is right for you. If your pain meds are anti-inflammatories your doc may recommend a different procedure.
  3. Usually insurance will on pay for one procedure per episode which would make the doc remove the gallbladder at no charge. I don't like to work without payment, do you?
  4. You won't beep. I have had my band since 2008 and have never had an airport issue.
  5. You might be dehydrated.
  6. Rather than just replacing the tubing, will insurance cover a total band replacement? Obviously, there is more to the defect that just the tube.
  7. Looks like everyone has a different opinion. None better or worse, just different perspectives. Yes, stress DOES tighten your band. I would continue sipping and give it a day or two. If you don't get relief, call your doc.
  8. I have had to take nsaid for a short period of time (no more than 2 weeks) due to similar issues. The best compromise is to take after coating your stomach with malox or something similar. Of course, this reduces the affect of the nsaid, but it is better than nothing.
  9. The insurance person at the doctors office says it is really hard to get BCBS of Alabama to pay for WLS. They do everything they can to get out of it. Also I learned that BCBS of Alabama will only pay for one WLS in your lifetime. Luckily my first one was paid for by UHC or I would have no chance at all. We will see after Friday what my future holds. Jenn6524, what is the outcome of your BCBSAL approval for revision? I too have a band that needs removing. BCBSAL refused to pay for a revision to a sleeve, but they are considering replacing my band. Go figure.... Gigi
  10. aldmb2, my frustration lies with insurance saying the removal is medically necessary...but they choose what to revise to same procedure. As you said, external reviewers can't make insurance companies pay.
  11. I have made two appeals to the review board in this six week period. did your insurance state only one "type" of weight loss procedure in a lifetime? doc and I presented medical issues with the band and the leakage problem. They agreed to revise, but only to band. What on earth did you put into a 57 page appeal?
  12. Pevette and Pookeyism, Yes, I have heard of "upgrading" surgeries from others. In plastics, often insurance will cover a panneculetomy, but surgeons will charge the patient the difference to upgrade. I have hounded the insurance coordinator from a variety of angles attempting to get a price for the difference of the band removal and revision to sleeve. I am more than willing to pay a fair difference. I was told that it was fraud to submit on procedure code to insurance when in fact another was performed. They refuse to do it. Maybe someone with insurance filing experience can explain this to us?
  13. Thought I would give everyone an update. Insurance won't pay for a "second type" of surgery. My Realize band has a leak and insurance company, BCBSAL, agreed the band malfunctioned and wrote, pending the physician's request, they would approve to reband me. They had already approved the band to be removed, but I wanted revision to return to the restriction I once had. (Doc removed the remaining Fluid when I was having an Upper GI in mid April.) If the doc's office can get an approval letter to reband, then that is the route I will take. I suppose if this one fails, I can always choose to pay for the sleeve. My choices: Remove the band Remove and replace the band Self Pay for the band to sleeve revision Good luck to everyone else on the sleeve journey. I'll keep an eye on your progress. Gigi
  14. Hi, I saw your old posting. Did you ever get approved? I am going thru that process now with BCBSAL and have received two denials due to once in a lifetime benefit. Nevermind, the darn band has a leak! Anything from your experiences that you can share would be appreciated. Gigi
  15. I don't know what the percentage of band to sleeve revisions are, but I agree that your choice to start with a sleeve is best. As for the seminars, usually, whichever doc does the program is who you sign up for. They are both good. I haven't been to the support group in several months. Mainly because of my band issues. I didn't feel I would be a good spokesperson until I get resolution....band out, change to sleeve, etc. I am going to call my insurance again this afternoon to check on the status of the revision. I never have been a patient camper.
  16. Mary, I have been thinking of you. So glad that you are well enough to be home!
  17. Sounds like some minor ailments. Congrats to you for gettng sleeved! How long will you be in the hospital?
  18. So glad it is nothing too serious. Glad you are feeling better!
  19. Sorry you are not feeling well. Are you back home or in Mexico?
  20. Hello! Welcome! I use Dr. Miles from the same group. You will find them both to be very capable doctors. I am in limbo waiting for a band to sleeve revision. I have insurance approval to remove the band due to leakage and gastritis, but they are not wanted to replace with the sleeve. Hopefully I will have an answer from BCBSAL soon. The 7-month wait is frustrating, but you will find that it goes by quicker than you think it will. Just follow all of the doc's directions.
  21. I love Sobe and Propel vitamin waters. They are my new sodas. I don't even miss soft drinks.
  22. aldmb2, just curious, on what grounds did they turn you down? (I am still in a holding pattern waiting on my approval...or not)
  23. I take Bariatric Advantage chewables: multi-vitamin, calcium, and iron.
  24. missmeow, you refer to short term memory loss. I have not heard of this. Can you give us a research link? Is it due to anesthesia or something with the procedure itself?

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