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Band Removal Approved; BYPASS DENIED!

I'm so depressed! Don't I deserve a 2nd chance? The removal of my band was approved but the bypass denied. So if I have the band removed, I'll gain a bunch of weight and then where will I be? I've already gained 11 pounds just since all of the Fluid was removed from the band. I am beside myself. I don't have the kind of money to self-pay. Should I fight this? I'm told I need 6 month weight loss documentation -- but the only thing I have are invoices from Nutrisystem where I tried them for 2 months approximately 6 months ago. Will that qualify? I just don't know what to do. Any advice?

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I did the Dr's Diet for 6 months and was approved the program is called Dr's diet hope they have it in your state good luck! ????

  • Author

Still waiting. Appeal was filed with UHC 10 days ago. The waiting is KILLING me.

I know! They have 30 days to reply and the sure do take the 30! At least your in the home stretch!

  • Author

That's exactly what Kelley told me this morning. They really like to make one suffer!

Whenever you feel a flare up see your dr.....document everything.

  • 2 weeks later...
  • Author

DENIED AGAIN! ANOTHER APPEAL! Kelley wasn't surprised. It seems my records were reviewed by a PLASTIC SURGEON!!! Duh!!!

Bobbi, is this with the weight loss advocates?

  • Author

Bobbi, is this with the weight loss advocates?

Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.

Edited by Bobbe Schu

Bobbi, is this with the weight loss advocates?

Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.

maybe its the third time is a charm thing. I wouldn't give up either. I was prepared to contact the Lindstrom group if I wasn't approved.

  • Author

Bobbi, is this with the weight loss advocates?

Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.
maybe its the third time is a charm thing. I wouldn't give up either. I was prepared to contact the Lindstrom group if I wasn't approved.
Congratulations! I am so very happy for you! Do you have a date yet?

This is ridiculous!What is your insurance again?

Bobbi, is this with the weight loss advocates?

Yes. But now we move to the next step. I will not give up, nor will the Lindstroms! So happy to have them in my corner. Without them I would not have pursued this--wouldn't have known I had the choice.
maybe its the third time is a charm thing. I wouldn't give up either. I was prepared to contact the Lindstrom group if I wasn't approved.
Congratulations! I am so very happy for you! Do you have a date yet?

Not yet...I have to talk it over with my SO tonight. We are getting married in December and I'm a little worried about how the surgery might effect my wedding (or how I might feel at my wedding time)

  • 2 weeks later...

Hello

I was denied at first for the sleeve revision but was approved for the lapband removal for not having 6 months of nutrional visits. My doctor did a peer to peer conference with the insurance and was approved immediately. I had surgery on 08/31. He sent in all the information on first surgery had the 6 months of nutrional visits and that everytime I went to get a fill or unfill I spoke to nutrionist. Hope that helps!!!! Not sure why people have to hire and advocate cause this is what we are paying our doctors to do. Or at least I found an amazing Bariatric team that did all the leg work for me

What's your insurance?

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