I had the sleeve in 2013 and am in the process of looking to revise to a DS. I am extremely worried about the insurance portion. I know "everyone's insurance is different" I get it. Having been through the insurance stuff before I do realize it's case by case etc. I have Aetna and I did read the policy jacket and all that.

I just want to know is there anyone on here that was approved for a second surgery and if so what is your story? I have had a little regain but been stalled over a year and a "twisted" sleeve it looks like cobblestones on top of each other. My BMI is 37. NO COMORBIDIES (sp?) Has anyone been approved in a similar situation?

I had my sleeve done in August, 2013, & then had a revision of the sleeve & conversion to a single-anastomosis duodenal switch December 29, 2015, all covered by Aetna.

I still had the co-morbidities I did before the first sleeve, some improved, some not, & my BMI was just over 35 at the time of my revision consult. I believe my surgeon also used the argument that my highest recorded BMI was just over 50 before the first sleeve.

This topic came up last month in our support group meeting, and the surgeon said that in this woman's case, like yours, it is usually considered to be treating a complication of the original surgery, so the BMI requirements don't apply. Like always, its a YMMV thing between companies, but that is how it is generally handled.

Thank you both for that information. It's very helpful. I think the insurance part of it can just be very stressful