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Band eroded & removed but ins. Won't pay for sleeve>:

I had to have my lap band removed because it eroded but my ins (BC/BS) won't pay for another WLS. so I am at a total standstill. I can't private pay anytime soon. My dr. Already approved to do the sleeve but I wondered if there's any insurance I can sign up for that most likely will pay?

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Have you already applied to the insurance company and been denied? Or are you just reading your policy?

my friends lapband eroded into her stomach. Any doctor will require you to not do anything for at least six months. If you are self-pay, due to cost, I would recommend looking into some of the excellent doctors in Mexico. I am thrilled with mine and they use a large variety of funding companies...although I will warn you, you will end up paying MORE going that route (they wanted to charge me a $1,000 fee). However, it is still 1/4 of the cost of what they charge in the states.

Appeal the decision. You have a whole appeal process to go thru. Don't just take a no. I had a once in a life time WLS policy added to my insurance. I was able to talk to them and do a verbal appeal. They confirmed my information with the surgery center. As it was medically necessary to have the band removed and it was proved by THEM that I needed WLS in the first place, I won and they paid for the sleeve 4.5 months after the band was removed. It took lot of documentation which you have with the erosion.

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