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A Big Fat No!

I jumped through all the hoops that my insurance (Affinity) required, the same day that the coordinator sent in my documents I was denied. Denied because after all that I did they do not cover gastric sleeve. So now I have a choice says my surgeon either do the band or roux en y which my insurance do cover. I don’t know what to do.

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  • I initially wanted the vertical sleeve, but found out my insurance only covers RNY, so I'm getting that. Research RNY and see if it's for you! This forum has a ton of information and great people.

  • Butterfly66
    Butterfly66

    My daughter had the band and it has not proven successful. Even though the RNY is more invasive, it also provides the most successful results. She is now in the process of getting approved for a rev

  • SoccerMomma73
    SoccerMomma73

    Hey there! Good luck making your decision. I recently had my band removed in an urgent surgery due to slippage of the band and herniation of my stomach. I won't say don't get a band. I will say I w

Featured Replies

I initially wanted the vertical sleeve, but found out my insurance only covers RNY, so I'm getting that. Research RNY and see if it's for you! This forum has a ton of information and great people.

  • Author

The coordinator says I can keep my surgery date 8/21 I have to sign consent for the rny tomorrow and she will fax it to the insurance. I just hope the insurance don't come up with something else.

My daughter had the band and it has not proven successful. Even though the RNY is more invasive, it also provides the most successful results. She is now in the process of getting approved for a revision. Good luck to you.

Hey there! Good luck making your decision. I recently had my band removed in an urgent surgery due to slippage of the band and herniation of my stomach. I won't say don't get a band. I will say I wish I hadn't gotten a band :/ I did get my BMI from 50 to 36 and keep it there, but I've had a couple years of problems as well. I will be getting RNY sometime next year, after removing my band the surgeon discovered I had a significant amount of damage from the band that needs time to heal.

Take time to research and be comfortable with your choice, ont just rush in because you ate redy to do something now....

Good luck!!!!.

  • Author
Hey there! Good luck making your decision. I recently had my band removed in an urgent surgery due to slippage of the band and herniation of my stomach. I won't say don't get a band. I will say I wish I hadn't gotten a band :/ I did get my BMI from 50 to 36 and keep it there' date=' but I've had a couple years of problems as well. I will be getting RNY sometime next year, after removing my band the surgeon discovered I had a significant amount of damage from the band that needs time to heal.

Take time to research and be comfortable with your choice, ont just rush in because you ate redy to do something now....

Good luck!!!!.[/quote']

Wow sorry to hear you had such bad experience with the band. Lap band wasn't an option for me, I just wouldn't like something hanging around in my stomach. I wish you better luck with the rny. Thanks to all for the advice.

From what I have learned you loose the most weight with the RNY. I wanted the best results if I was going to have any surgery.

  • Author

I signed consent today for rny and my insurance received all my documents again. I called them and they say it will take up to 72hrs to find out if I'm approved. I have surgery date on 8/21. My doctor seems to think I will get approved I'm not so sure. Sweating bullets!!!

Wishing you all the best & this surgery has more results then the rest gastric bypass.

Good luck! Hope ur approved :)

Sent from my iPhone using RNYTalk

I too was set on the sleeve but most insurance companies do not cover it :/. I liked the idea of a surgery that had almost same weight loss but that was not map absorptive. If you do the research sleeve and bypass are within 10% of weight loss numbers however it's usually a little slower. Rny has more research and thus insurance is more likely to cover it. That and it is reversible.

I hope your ready for a ride :) let us know how it's going for you

Surgiversary 07/24/12 Sent from my iPhone.

I initially wanted the vertical sleeve' date=' but found out my insurance only covers RNY, so I'm getting that. Research RNY and see if it's for you! This forum has a ton of information and great people.[/quote']

When is your surgery

Sent from my iPad using RNYTalk

Welcome and good luck

When is your surgery

Sent from my iPad using RNYTalk

I have to do the 6 month weigh-ins, so I will probably have surgery at the end of December :)

I jumped through all the hoops that my insurance (Affinity) required' date=' the same day that the coordinator sent in my documents I was denied. Denied because after all that I did they do not cover gastric sleeve. So now I have a choice says my surgeon either do the band or roux en y which my insurance do cover. I don’t know what to do.[/quote']

Hi

I just noticed you said your insurance was Affinity. Is that the Affinity Eden Medical Group with United Healthcare? I am asking because that is my medical group and I would like to compare requirements:) I hope you got approved for surgery!

  • Author

Hi

I just noticed you said your insurance was Affinity. Is that the Affinity Eden Medical Group with United Healthcare? I am asking because that is my medical group and I would like to compare requirements:) I hope you got approved for surgery!

No, my insurance is affinity health care.

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