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Band to Sleeve revision with a BMI of 31

Hi everyone.. I haven't been here for quite awhile, but I am now seriously considering revision surgery from my second llap-band to sleeve. My first band was put in in 2006. I initially lost 35 pounds but then plateaued there for years. In 2014, I had that band removed becauyse of band slippage and a new band was put in. Since then, I haven't lost any weight at all, and have gained about 15 pounds in all. My question is one of approval. Has anyone had experience with insurance for band-to sleeve revision with a BMI of under 35? I also have co-mobidities of severe sleep apnea, high blood pressure & triglycerides, and now my doctor is concerned with my latest sugar level over a three month span. Since my BMI is only 31, I anticipate a fight with my insurance carrier. Hopefully I may be able to get a revision based upon lap band failure. There is a clause that says if no significant weight loss is achieved with banding, it is considered a failed procedure. I have an appt with surgeon who did 2nd band on May 24. I want to be as prepared as possible. Anyone here in a similar place with revision approval? Thanks so much!!!

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Not sure if I can help much, but I was sleeved in Mexico because my BMI was 29 and I nobody around here would do it for me. I met goal (50 lbs lost) in 4 months. No regrets.

  • 2 weeks later...

I was just approved for a revision to a sleeve and my current BMI is 31. Of course, every patient and insurance is different. I have now had 2 slips, each a year apart, and my surgery is scheduled for 2 June.

Wishing you the best of luck.

  • 3 weeks later...

The clause in your insurance packet says it all you had a band failure. i did too my bmi was 36 just sleeved on May 24 th..

good luck it will be covered..

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