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BCBS Fed - anyone have revision approved?
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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!