Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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!!!!.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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!!!

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

Good luck! Hope ur approved :)

Sent from my iPhone using RNYTalk

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

Welcome and good luck

Share this post


Link to post
Share on other sites

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 :)

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×