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So my insurance is crazy. I started the process to get my band to bypass conversion back in October 2015. Bariatric is covered but I had to do a six month supervised diet and a bunch of other hoops. I jumped through all the required hoops. The insurance lady at the surgeon's office submitted everything at the end of May and went ahead and gave me a June 28th surgery date.

June 20th, ActiveHealth sends a letter approving band removal and denying bypass. My surgeon has been out of town, but comes back Monday. She is going to do a peer-to-peer on Monday to see if we can overturn the decision and still have my surgery Tuesday.

I am a nervous wreck and have been on the starvation liver-shrink diet since June 14th, as directed. I'm scheduled to go on Clear liquids Monday and will do so until I hear how how the peer to peer went. I am not a fan of ActiveHealth right now!

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Good luck. It seems like insurance companies are always throwing up roadblocks.

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Good luck. How did peer to peer go

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I found out my surgeon never did the peer-to-peer that day. My insurance advocate said they will actually do one now.

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      Two months out from hiatal hernia repair.  Surgeon said to expect a lot more flatulence...something about the 'air' no longer being able to 'burp' out so comes out the other end.  That is my experience but have no understanding of why that swallowed air cannot be 'burped'. ???
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