Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

Join BariatricPal free

  • Ask your own questions
  • Reply and follow topics
  • Message other members
  • No cost, no spam

BCBS Fed - anyone have revision approved?

I was self pay for band in 2001 and did well with weight loss at the beginning. Had some fills and unfills around 2009 and after that never felt right. Was too tight and did not eat well. Had imaging studies in 2011that showed esophagitis, gastritis, and a hiatal hernia. I had terrible shoulder pain and heartburn almost daily. Finally had the band emptied in 2013 but still have symptoms.

Had a surgeon send in a letter in 2011 but was denied. I never got a copy of the denial. I want to try again but I have not been at a 35 bmi for two years. Anyone approved due to medical necessity for similar circumstances?

Also my preferred surgeon is not at a center of excellence and I really want him to do my surgery. I have thought about self pay but am scared that if I develop complications since I have had band for 14 years that insurance will not cover the complications.

Thank you for your thoughts!

  • Replies 43
  • Views 7.6k
  • Created
  • Last Reply

Featured Replies

I was able to get a removal of my band and revision to sleeve in the summer of 2014 in Texas under BCBS. I was self pay for my band in 2007 and ended up with a dilated esophagus with major reflux and pain. I had to stay on the doctor's office and the insurance company because I am a teacher and my district was about to switch insurance on me with the new school year starting. It was so stressful and I have not lost weight since the surgery. I have gained about 35 pounds-my mom passed away and other events made life stressful. I had lost 125 lbs. with my band so I am upset with the whole thing. It feels like another failed weight loss attempt. Very disappointing! I just don't feel like I ever had restriction after my revision. I am going to my GP doctor tomorrow. I hope I can figure something out.

Mine is pending approval with FEPBLUE, we shall see

So I called precertification dept today. It looks like my file was just reviewed today and I have been approved. According to the rep, the dr. just looked at it this afternoon and it has not been sent back to nurse yet to be further processed in the system. I was submitted on 9/11. So I just have to wait for them to send the information back to my drs office.

So I called precertification dept today. It looks like my file was just reviewed today and I have been approved. According to the rep, the dr. just looked at it this afternoon and it has not been sent back to nurse yet to be further processed in the system. I was submitted on 9/11. So I just have to wait for them to send the information back to my drs office.

That is great!!! I am having sleeve to bypass revision on Monday, 9/28/15. I have BBS Fed Basic insurance. Good Luck with your upcoming surgery:-)

So I called precertification dept today. It looks like my file was just reviewed today and I have been approved. According to the rep, the dr. just looked at it this afternoon and it has not been sent back to nurse yet to be further processed in the system. I was submitted on 9/11. So I just have to wait for them to send the information back to my drs office.

That is great!!! I am having sleeve to bypass revision on Monday, 9/28/15. I have BBS Fed Basic insurance. Good Luck with your upcoming surgery:-)

Please keep me posted! I would love to know how it goes for you. What prompted your revision? I did email Alex to ask to a sleeve revision board. It seems like there are more of us.

So I called precertification dept today. It looks like my file was just reviewed today and I have been approved. According to the rep, the dr. just looked at it this afternoon and it has not been sent back to nurse yet to be further processed in the system. I was submitted on 9/11. So I just have to wait for them to send the information back to my drs office.

That is great!!! I am having sleeve to bypass revision on Monday, 9/28/15. I have BBS Fed Basic insurance. Good Luck with your upcoming surgery:-)

Please keep me posted! I would love to know how it goes for you. What prompted your revision? I did email Alex to ask to a sleeve revision board. It seems like there are more of us.

I will keep you posted. I could really use someone to talk to through this ross. I have my husbands full support but my family is not supportive at all. I am having the revision because of very severe acid and bile reflux. Medication does not manage it. I wake up every night vomiting and choking.

@@stacy0 contact me anytime! That GERD is some nasty stuff! That is part of my problem.

  • 3 weeks later...
  • Author

@@brayd_mommy09 I had some cardiologist drama and got my surgery pushed back. Just had it October 1st. I am doing pretty well. I am on full liquids until Thursday which marks my two weeks out. Mushies start on Friday. Not sure what to do with that. I don't find the plan I was handed to be very helpful.

How are you doing? I can't wait to hear!

@@brayd_mommy09 I had some cardiologist drama and got my surgery pushed back. Just had it October 1st. I am doing pretty well. I am on full liquids until Thursday which marks my two weeks out. Mushies start on Friday. Not sure what to do with that. I don't find the plan I was handed to be very helpful.

How are you doing? I can't wait to hear!

I had my surgery the 17th and I've lost a total of 27 lbs so far. It's a struggle. But it's getting easier. I've had to learn how much I can actually eat.

  • Author

@@brayd_mommy09 27 pounds is awesome! I have not started food yet, I start puree tomorrow. I just plan on taking it easy and see how it goes...

@@brayd_mommy09 27 pounds is awesome! I have not started food yet, I start puree tomorrow. I just plan on taking it easy and see how it goes...

thats how you have to do. The nausea after the surgery was killer for me so when I could eat I was terrified to eat. But it's much better then the band.
  • 3 weeks later...

Hello, I hope you found everything to be okay after your visit to the doctor. How long did it take your esophagus to heal back to normal? Was it extremely dilated?

I was able to get a removal of my band and revision to sleeve in the summer of 2014 in Texas under BCBS. I was self pay for my band in 2007 and ended up with a dilated esophagus with major reflux and pain. I had to stay on the doctor's office and the insurance company because I am a teacher and my district was about to switch insurance on me with the new school year starting. It was so stressful and I have not lost weight since the surgery. I have gained about 35 pounds-my mom passed away and other events made life stressful. I had lost 125 lbs. with my band so I am upset with the whole thing. It feels like another failed weight loss attempt. Very disappointing! I just don't feel like I ever had restriction after my revision. I am going to my GP doctor tomorrow. I hope I can figure something out.

Archived

This topic is now archived and is closed to further replies.

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.