Jump to content
×
Are you looking for the BariatricPal Store? Go now!

does insurance pay for band removal ?



Recommended Posts

My insurance does not cover bariatric surgery, however, I had a band done overseas 4 1/2 years ago and have since lost 110 lbs.

Lately I have been having some problems with not being able to eat or even drink at times. Had my band checked (x-ray w/ barium) and it showed nothing passing and a dilated esophagus. The doc unfilled the band completely and recommends removal of the band and conversion to bypass but I do not really want to have major surgery (bypass).

I am wondering if the insurance would pay just for the removal (laparoscopic) if it is medically required or do I need to wait for serious health issue and go to ER ?

Share this post


Link to post
Share on other sites

I would think your insurance would cover the removal since you are actually having problems with it. I am in the same boat, I want mine out and I don't want anymore weight loss surgery. I am waiting for my insurance to kick in and then I am having it out. I am sick of being in pain and being miserable. Even if my new insurance won't cover the removal, I will borrow the money or run up my credit cards. I don't care. I just want it out.

Share this post


Link to post
Share on other sites

The insurance approved the removal, however, they declined the revision to bypass since my BMI is now 28 and they require 35. Kind of shortsighted since I have read and heard that most people will gain their weight back after lap band removal. If someone gains their weight back and gets the BMI is over 35 again then they will pay ???

Not sure if I can maintain my weight without any help. I sure would like to and I really would prefer not to have parts of my stomach cut out or my intestines rerouted. That was why I choose the band in the first place. Nowadays they barely recommend the band anymore because of all the problems and revisions required.

Share this post


Link to post
Share on other sites

The insurance approved the removal, however, they declined the revision to bypass since my BMI is now 28 and they require 35. Kind of shortsighted since I have read and heard that most people will gain their weight back after lap band removal. If someone gains their weight back and gets the BMI is over 35 again then they will pay ???

Not sure if I can maintain my weight without any help. I sure would like to and I really would prefer not to have parts of my stomach cut out or my intestines rerouted. That was why I choose the band in the first place. Nowadays they barely recommend the band anymore because of all the problems and revisions required.

Well, my band was removed after almost exactly 4 years and 120 lbs weight loss. Since the insurance did not cover the conversion I decided to do just the removal.

I had the surgery last Wednesday around 8 am and was back home around 1 pm. I only ate some Soup that day and a few chips. It was an amazing feeling being able to actually eat a cup of Soup and having it go down without having to vomit it all out again.

The next day I already ate some solids. The third day a regular Breakfast and lunch. Amazing.

My stomach and belly were pretty sore for the first 3 days, especially when sitting down, getting up and eating. I also had a lot of issues using the restroom (urinary and bowel retention are very common after anesthesia) but it is getting back to almost normal.

I realize I will probably gain some weight back but I will try to keep it to 10-15 lbs. I plan on continuing eating only half portions in restaurants and no more than 6-8 oz at home. Hopefully my willpower will be enough. I definitely do not want to get anywhere close to my old weight.

I will keep you updated.

Share this post


Link to post
Share on other sites

The insurance approved the removal, however, they declined the revision to bypass since my BMI is now 28 and they require 35. Kind of shortsighted since I have read and heard that most people will gain their weight back after lap band removal. If someone gains their weight back and gets the BMI is over 35 again then they will pay ???

Not sure if I can maintain my weight without any help. I sure would like to and I really would prefer not to have parts of my stomach cut out or my intestines rerouted. That was why I choose the band in the first place. Nowadays they barely recommend the band anymore because of all the problems and revisions required.

Well, my band was removed after almost exactly 4 years and 120 lbs weight loss. Since the insurance did not cover the conversion I decided to do just the removal.

I had the surgery last Wednesday around 8 am and was back home around 1 pm. I only ate some Soup that day and a few chips. It was an amazing feeling being able to actually eat a cup of soup and having it go down without having to vomit it all out again.

The next day I already ate some solids. The third day a regular Breakfast and lunch. Amazing.

My stomach and belly were pretty sore for the first 3 days, especially when sitting down, getting up and eating. I also had a lot of issues using the restroom (urinary and bowel retention are very common after anesthesia) but it is getting back to almost normal.

I realize I will probably gain some weight back but I will try to keep it to 10-15 lbs. I plan on continuing eating only half portions in restaurants and no more than 6-8 oz at home. Hopefully my willpower will be enough. I definitely do not want to get anywhere close to my old weight.

I will keep you updated.

I have gained 5 or 6 pounds in the last 2 weeks but that is o.k.

It is just so much joy being able to eat real food again after years of misery. I realize I will need to control my food intake but even if I eat half portions from what is commonly served it is probably still twice of what I used to eat with my band and the restriction. I am not sure if the enlarged esophagus caused less of the food and nutrients to be absorbed but eventually the food must have ended up in the stomach. I went from maybe 2 bowel movements per week to daily which indicates more food. Many friends and colleagues have commented that I look so much better (happier) even though they do not know about my procedure.

Share this post


Link to post
Share on other sites

I'm waiting for approval from lap band to sleeve with all same issues as you but my bmi is 32, I also heard they won't cover unless it's 35! I'm praying they will approve

Share this post


Link to post
Share on other sites

The insurance approved the removal, however, they declined the revision to bypass since my BMI is now 28 and they require 35. Kind of shortsighted since I have read and heard that most people will gain their weight back after lap band removal. If someone gains their weight back and gets the BMI is over 35 again then they will pay ???

Not sure if I can maintain my weight without any help. I sure would like to and I really would prefer not to have parts of my stomach cut out or my intestines rerouted. That was why I choose the band in the first place. Nowadays they barely recommend the band anymore because of all the problems and revisions required.

In a similar boat. Had my band put in 4 years ago. Not distended esophagus and stomach. Have have removed, want to do conversion to sleeve and have to do the 3 month diet trial, crazy.

Sent from my SM-N910V using the BariatricPal App

Share this post


Link to post
Share on other sites

My insurance paid for band removal and revision to sleeve - I had two surgeries.

Sent from my SAMSUNG-SGH-I337 using the BariatricPal App

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Frugal

      Welcome to Frugal Testing, where we are committed to revolutionizing the software testing landscape with our efficient and affordable solutions. As a pioneering company in this field, we understand the challenges faced by startups, small to medium-sized businesses and any organization working without budget constraints. Our mission is to deliver top-notch testing services that ensure the highest quality of software, all while keeping your costs in check.
      Frugal Testing offers a comprehensive suite of testing services tailored to meet diverse needs. Specializing in different types of testing including functional testing, automation testing, metaverse testing and D365 testing, we cover all bases to guarantee thorough software quality assurance. Our approach is not just about identifying bugs; it's about ensuring a seamless and superior user experience.
      Innovation is at the heart of what we do. By integrating the latest tools and technologies, many of which are cutting-edge open source solutions, we stay ahead in delivering efficient and effective testing services. This approach allows us to provide exceptional quality testing without the high costs typically associated with advanced testing methodologies.
      Understanding each client's unique needs is fundamental to our service delivery. At Frugal Testing, the focus is on creating customized testing strategies that align with specific business goals and budget requirements. This client-centric approach ensures that every testing solution is not only effective but also fully aligned with the client's objectives.
      Our team is our greatest asset. Composed of skilled professionals who are experts in the latest testing techniques and technologies, they bring dedication, expertise and a commitment to excellence in every project. This expertise ensures that our client’s software not only meets but often exceeds the highest standards of quality and performance.
      Frugal Testing is more than just a service provider; we are a partner in your success. With a blend of quality, innovation and cost-effectiveness, we are here to help you navigate the complexities of software testing, ensuring your product stands out in today's competitive market. 
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      I have no clue where to upload this, so I'll put it here. This is pre-op vs the morning of my 6 month appointment! In office I weight 232, that's 88 lbs down since my highest weight, 75 lbs since my surgery weight! I can't believe this jacket fit... I am smaller now than the last time I was this size which the surgeon found really amusing. He's happy with where I am in my weight loss and estimates I'll be around 200 lbs by my 1 year anniversary! My lowest weight as an adult is 195, so that's pretty damn exciting to think I'll be near that at a year. Everything from there will be unknown territory!!

      · 3 replies
      1. AmberFL

        You look amazing!!! 😻 you have been killing it!

      2. NickelChip

        Congratulations! You're making excellent progress and looking amazing!

      3. BabySpoons

        So proud of you Cat. Getting into those smaller size clothes is half the fun isn't it?. Keep up the good work!!!!

    • BeanitoDiego

      I changed my profile image to a molecule of protein. Why? Because I am certain that it saved my life.
      · 1 reply
      1. BabySpoons

        That's brilliant! You've done amazing!! I should probably think about changing my profile picture at some point. Mine is the doll from Squid Games. Ironically the whole premise of the show is about dodging death. We've both done that...

    • eclarke

      Two years out. Lost 120 , regained 5 lbs. Recently has a bout of Norovirus, lost 7 pounds in two days. Now my stomach feels like it did right after my surgery. Sore, sensitive to even water.  Anyone out there have a similar experience?
      · 0 replies
      1. This update has no replies.
    • Eve411

      April Surgery
      Am I the only struggling to get weight down. I started with weight of 297 and now im 280 but seem to not lose more weight. My nutrtionist told me not to worry about the pounds because I might still be losing inches. However, I do not really see much of a difference is this happen to any of you, if so any tips?
      Thanks
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×