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OK, just found out (again..long story, short) my removal of band will be covered because it is "medically necessary"..however, insurance will only pay up to $2,000 for sleeve, repair, etc. as anything BUT removal is considered obesity-related and "they don't cover obesity-related" surgeries.
So, my question to my doctors office (they haven't called me back yet) is...since you are in there anyway removing the band and all the surgery staff is around, and ready and willing, can the dr just repair, insert new one or do the sleeve surgery. I mean, my gosh, how much more can that cost. They are in there anyway!!!
I seem to remember reading, and cannot locate right now, some advise on getting doctor to do additional work while in there. I need the procedure to be coded "medically necessary"...to be covered at 80%. Any ideas of what I can ask my dr to do?
I cannot pay out of pocket.