I knew it was coming but I can't help but feel upset. I am a revision candidate from the band to sleeve. They have approved my band to come out. That is a prayer answered in itself. I have had pain and complications for almost 5 years and 2 insurances have denied taking it out. I will be doing that in June. The letter said I have to have a Nut and Psych appt. which is normal. But the letter said that I need to PROVE that I followed my diet and exercise program after my first surgery. Which part? While the band was working I lost 32 pounds. A few month after surgery I had complications and got to where I couldn't eat at all so obviously I gained weight in starvation mode. That requirement is really open for them to say anything. I am a little scared now that this is not going to work out.... Sorry to be so negative, I'm usually so positive. But I am so fed up with these insurance companies not treating me as an individual case instead of the herd. I think I need a pep talk... On the bright side I've got the psych appt Friday and the nut appt next Tues so they can submit again next week with those and whatever the docs office decides will prove that I was compliant after my first surgery... Meanwhile I'll try not to freak out :o/

I have bcbs of Mississippi. I also have a herniated disc in my neck and have sacroiliac joint disfunction - besides all of these I also have a pseudo tumor cerebri- which steals my vision. I lost it for a week two years ago then regained it after an emergency brain surgery. I permanently lost my peripheral vision. The tumor thrives on weight.. After all of this and being referred by all of my specialist drs and having them send bcbs letters, bcbs has THE NERVE to say that in my position the sleeve is merely a cosmetic surgery and they weren't paying for it. Long story short, we paid out of pocket, and we are still fighting the insurance company

Hope you get approved!

Oh my. I am sorry to hear that. I am glad you were still able to get the surgery. Maybe soon they will come to their senses and reimburse you if not for some of it

Don't they even look at and read what is submitted??? Good luck!

Apparently not

I received a denial for them too... I was really depressed, gave up my diet... Then I made the better desicion... Having my surgery in. mexico with dr Aceves... I feel great without 150 lbs in 8 mo.

Kami63, do you have an update? Will the Dr do both or you at the same time?

I am a band to revision patient. I'm in Chicago , I had band in 2008. I lost fifty pound but had complications. Bcbs said as long as the dr felt I needed it to be removed they will approve it. I had the surgery at one time. No denial and no records needed form the other hospital . I hope it works out well for you.

Kami63, do you have an update? Will the Dr do both or you at the same time?

Yes! That is the plan anyway... I saw him and he actually said it was no problem to plan on it. So i am hoping to wake up from surgery Tuesday sleeved

Oh and I was approved for both by BCBS!!!!

That's great! I'm so happy for you. Do you just love Dr Nick? I'm coming in behind you on the 16th.

That's great! Did your surgery date move up to the 26th?!

Yes I love Dr Nick. He has been wonderful

Thanks bscott92863 all went well today with psych! There are two parts the interview with te Dr. And the test that was 370 questions (whew!) Dr. Told me that I passed the interview portion and he will have the results of the test on Monday. Hope I passed he test

just wondering a question I'm indecisive of the sleeve and the r an y... if so many people are getting the ban removed ... in the sleeve is new why not just do the r and y... what happens if the sleeve doesn't work like the ban... since the r and y has been out longer??? I'm thinking the sleeve is the way to go for me but just nervous..

That's great! Did your surgery date move up to the 26th?!

Yes I love Dr Nick. He has been wonderful

No, it's the 16th. I didn't realize I typed the 26th. I edited it, don't want to jinx myself lol.

just wondering a question I'm indecisive of the sleeve and the r an y... if so many people are getting the ban removed ... in the sleeve is new why not just do the r and y... what happens if the sleeve doesn't work like the ban... since the r and y has been out longer??? I'm thinking the sleeve is the way to go for me but just nervous..

It is simple for me. I don't want severe mal nutrition. I already have issues absorbing Vitamins.... Also it kinda freaks me out to have intestines rerouted. Lol

It is simple for me. I don't want severe mal nutrition. I already have issues absorbing Vitamins.... Also it kinda freaks me out to have intestines rerouted. Lol

You have had it done already?

Hi, i ad the sleeve surgery on 06-20, i'm in a lot of pain...