6 month diet requirement

[jennifer1 180]

I am starting the process to revise my band to a sleeve. When I got my band i was self pay, however now I have insurance that will cover removal of my band and the revision. I understand that i'm probably going to have to go through all the testing. I have blue cross blue shield..PPO. im wondering if anyone has this insurance and if you were required to do a 6 month diet since I already have the band.

[AMJK79 34]

Normally you do have to do the supervised diet with Blue cross/Blue shield but you may not have to if you did it the first time around with the Lap Band. I am also a Lap Band to revision and I didn't have to do the supervised diet this time around. Good luck with everything!!

[ElleJ 19]

I'm a Lap Band revision ( I had the band for 10 years) and BCBS didn't require me to do the 6 month supervised diet. I'm due to be sleeved on 10/26 (can't wait!!!)

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[heidikat72 935]

It will completely depend on your specific policy with BCBS. Call them, provide your policy/group number and ask them to send you in writing the policy related to bariatric surgery.

[ElleJ 19]

Yep...I agree. That's what I did. I didn't want anything slowing up the process.

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[kelefev 0]

Hello,

I am in the same situation. I have Highmark Blue Shield and they have a policy for new procedures and one for revisions (I will post the revision policy) so I'm wondering if I will be required to do the 6 month diet again. I did it back in 2010 with my lap band but that was through Capital Blue Cross. I can't wait to get the band out, every day is a struggle with it!

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[Sai 785]

I am starting the process to revise my band to a sleeve. When I got my band i was self pay, however now I have insurance that will cover removal of my band and the revision. I understand that i'm probably going to have to go through all the testing. I have blue cross blue shield..PPO. im wondering if anyone has this insurance and if you were required to do a 6 month diet since I already have the band.

I was self pay for my band in 2009. BCBS PPO here too, and they covered my revision with no 6 month diet. My surgeon had to show complications though, like enlarged esophagus...etc. As far as my hoops, I have a super strict surgeon anyway, and she required more hoops than my insurance hehe. Good luck!

[dvons 63]

No diet but I have to got to nutrition classes.

[Gerri918 23]

I did the revision and the 6 month PreOp is required I had the revision on Monday (9/19)

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[Gerri918 23]

Meaning, 6 months of seeing the Nutr, 1 visit to the physc dr. I have BCBS.

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[johnny207 30]

I am starting the process to revise my band to a sleeve. When I got my band i was self pay, however now I have insurance that will cover removal of my band and the revision. I understand that i'm probably going to have to go through all the testing. I have blue cross blue shield..PPO. im wondering if anyone has this insurance and if you were required to do a 6 month diet since I already have the band.

I have Highmark BC/BS...and they didn't require me to do the 6 month diet, etc. As long as your physician sets forth why you need it, it should be approved. Yes, we quoted the same reasons from the policy you posted! However, at first I was denied, but my Dr. Did a peer to peer consultation and it was approved immediately.

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Edited September 24, 2016 by johnny207

[kelefev 0]

@@johnny207 can I ask how long you had the band before you submitted for revision? Also what types of problems were you having?

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