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Revision to DS, what insurances require less than six mos. weight management?



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I'm in NYC, 39 BMI no serious comorbidities ,and I want a revision to the duodenal switch. My insurance requires six months again however I'm uncertain if they will cover it I spoke to someone on the phone and requested the written info regarding the revision. It seems unless there is something wrong they won't cover it according to the woman on the phone.

So I'm going to start the process of testing but still might want to either leave current insurance or get another. I currently have Amerigroup Healthplus. So many questions I have.

What insurances didn't have a wait or only required three/four months of weight management?

Another question is when buying an insurance what is the average cost of the plan? Do you pay per month? If so what's average for an individual insurance. I might consider adding my toddler son to it although he has insurance.

For people who have had the DS I would like to hear from you especially.

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What type of procedure do you currently have and why do you want to change to a DS? I would make sure to research all the details before changing. I'm not sure, does the DS have problem with nutrient absorption? Sorry I don't have any insurance detail for you. I was a self pay that went to Mexico for the VSG. Good luck.

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I'm converting from Lap Band to Sleeve. Submitted through Health Net PPO. Nothing is wrong with my band, just not working. They just needed it documented that I failed to lose the weight within 2 years.

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So how did you prove that? food journal? Did you use the fact you had a previous surgery as proof? Other poster I had the sleeve.

Since I have the band, I have followed up with my surgeon every year for adjustments so he wrote the insurance a letter of medical necessity

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When I was researching I found that most insurances didn't cover the DS at all. I ended up getting the sleeve which was my first choice anyways, the malabsorption of bypass and DS freaks me out a bit. Can I ask what problems you have with the sleeve that you're wanting a conversion? Always good to hear the positive and negative stories.

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