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Lap band removed!



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I am having my band revision to VGS in a couple of weeks. ON MY DIME! I guess my insurance felt that 2 WLS covered were the max! LOL Background here......Banded in 2005 ( insured), Band slipped and rebanded 2012 (insured), Revision set for 12/27 ( Out of pocket). Insurance denied because of prior surgeries. Oh well screw 'em! I'll pay for #3 my own dang self! Hopefully, with God's grace, this will be the answer!

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@RayLandry: you should contact Lindstrom Obesity Advocacy, they can help you appeal the denial for a few hundred dollars (instead of the thousands that surgery will cost). they will only take your appeal if they believe they can win. they helped me to get everything approved. here's there website: www.wlsappeals.com

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Jenn, thank you for the website! Since my surgery is only about 2 weeks away, do you think it is too late?

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@RayLandry. I agree with jendkopp and I would challenge this. With your surgery 2 weeks away, the clock is ticking. Do not wait!

To me, this is clearly a failed implantable device and your insurance should have provisions for surgical correction of an implantable device (ie: revision). Think about this in terms of an artificial joint. They are known to fail sometimes, but an insurance company really shouldn't have limitations on how many surgeries you can have on your artificial joint.

Best of luck!

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Well, I'm not sure if I am throwing good money after bad, but I just enlisted Lindstrom Obesity Advocacy to for a second appeal! Thanks Jenn for the recommendation. We'll see what happens! The cost of the assistance and advocacy vs. The surgery costs......well, it's a no brainer! I just hope that I didn't dig myself a deeper hole!

Thanks ya'll

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@RayLandry: keep us updated on your appeal. Good luck!

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I had my band removed as well with insurance covering it. Medical complications do meet the criteria to remove band and have another wls. Find out what the requirements are... “medical reasons for removal “

Reflux chronic acid problems upset stomach. Bad heartburn ect. You get the drift.....

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fingers are crossed!

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