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Did your insurance cover SIPS



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Hi guys,

I was banded as a self pay patient in 2007 and need a revision. My bmi is 41. I originally wanted DS but though this is an approved surgery, there are no in network providers who cover it. So from my insurance book I can see that I could definitely get approved for a sleeve but SIPS is not listed under covered procedure OR under excluded procedures. I was wondering if anyone had insurance that did approve a sips? I have UHC but any input is appreciated

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Hi,

I have UHC and they covered it. My surgery was on 2015. Initally, it was denied, but the surgeons office needed to code it differently, then it was approved!

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4 minutes ago, SIPSGrammy said:

Hi,

I have UHC and they covered it. My surgery was on 2015. Initally, it was denied, but the surgeons office needed to code it differently, then it was approved!

This is great news, do you happen to know what codes they used to get it approved?

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I had SIPs in Nov 2014 and insurance covered it. The doctors admin should handle this, not your worry. My insurance carrier denied it the first time but after the doctor (not me) appealed it was denied a second time and then immediately approved. The entire process from denial to approval was only about 30 days.

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On 4/3/2018 at 11:49 PM, Jmuldune said:

I had SIPs in Nov 2014 and insurance covered it. The doctors admin should handle this, not your worry. My insurance carrier denied it the first time but after the doctor (not me) appealed it was denied a second time and then immediately approved. The entire process from denial to approval was only about 30 days.

What carrier do you have if you don’t mind me asking

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Cigna

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SADi / SIPS / Single Loop DS are all the same procedure. Think of it as a DS "lite". You end up with a much longer common channel than a standard DS procedure but so far it has appeared weight loss is roughly the same. The benefit of the longer common channel is less malabsorption and in turn less Vitamins than a typical DS patient.

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