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Hi! Just wondering if anyone has any success with getting a revision with BCBS TX! I am hoping to have a revision in April. I have my first doctors appointment in March. My insurance does not require a waiting period. The only qualifications is BMI over 30, psych eval, and to prove that the band has failed. When I talked to the office, they need to prove that my band has slipped, eroded, or the port is no longer where it should be. I would love to hear from anyone who has had success with this insurance!

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Hello, I have BCBS(not Tx)...the coverage was for one bariatric procedure per lifetime and in order to get a revision approved, there had to be an issue from the primary procedure. Once my physician proved my primary procedure failed (proved through EGD tests, existing comorbidities, gallstones/gallbladder complications that would be removed during revision) my revision was approved very quickly without a wait period. In my insurance submission, all of the test results were included even my gym membership to show I was continuing to make efforts on improving my health.

Sent from my SM-N950U using BariatricPal mobile app

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Hello, I have BCBS(not Tx)...the coverage was for one bariatric procedure per lifetime and in order to get a revision approved, there had to be an issue from the primary procedure. Once my physician proved my primary procedure failed (proved through EGD tests, existing comorbidities, gallstones/gallbladder complications that would be removed during revision) my revision was approved very quickly without a wait period. In my insurance submission, all of the test results were included even my gym membership to show I was continuing to make efforts on improving my health.

Sent from my SM-N950U using BariatricPal mobile app



Congrats on the fast approval! I'm going through something similar. Hoping for a quick decision [emoji4]

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I'm really hoping for a fast approval! I started my pre op diet Tuesday. So far I'm down 4 lbs! I had my EKG and EGD done yesterday. Everything went well. The doctor told me that there wasn't much of a pouch left. I'm not sure how to take that.

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When I decided to pursue the revision the surgeon who performed my initial gastric sleeve performed my EGD. When his staff submitted the package for insurance approval that was all submitted, that submission was denied. Instead of submitting an appeal I opted to immediately see a bariatric physician that I could possibly get approval with within the last quarter of the year. After talking with my new physician a second EGD was performed, an abdominal ultrasound was done to view my gallbladder, an ultrasound on my legs and arteries and a stress test to actually monitor how I performed and breathed while cycling. The stress tests showed I had the capacity of someone 30 years my elder and showed a sac full of gallstones that my initial surgeon didn't want to remove and never did tests to show there was an issue. When these were submitted the 2nd time to my insurance, I was approved immediately for a revision, from a gastric sleeve to a duodenal switch. Although my first surgeon didn't submit and real problems with my sleeve, my second surgeon saw that a portion of the stomach was left during my initial surgery that should have been removed. My initial surgeon would not admit that there was an issue in the submission to the insurance company which was a cause of the initial denial. I'm now approaching my 3month post-op revisional surgery. I felt defeated after speaking with my first surgeon...stay strong you still have options

Sent from my SM-N950U using BariatricPal mobile app

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
      · 0 replies
      1. This update has no replies.
    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
      · 0 replies
      1. This update has no replies.
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