I had sleeve Jan 2014. Went from 266 to 176, then gained 25 back from having 2 babies. I just went to a gen. Surgeon to discuss getting an umbilical hernia fixed and we also discussed my severe acid reflux. He ordered an upper GI which showed Severe Gerd and a small hiatal hernia as well. He put me on meds which aren’t helping much. He said the only way to properly fix the issues is to revise to a bypass. I now have an apt with a bariatric surgeon to discuss options. Will FEP bcbs cover the revision if I havevto have one? Will I have to go through the same process as when I had sleeve done? Will I have to meet same requirements? My BMI is only 31.4. I would really be getting the revision done due to Gerd and to fix hernias.

Revision for issues of this nature are typically covered. But it's all doing to depend on your specific plan, not all FEB BCBS is the same.

My revision required a few extra hoops to jump through, but I also have a different provider now than I did when I was banded. But they still approved the revision, I had stage 4 esophagitis and didn't even know it.

Good Luck!

According to the FEP BCBS benefits guide this is what is required for revisions:

•Benefits for subsequent surgery for morbid obesity, performed on an inpatient or outpatient basis, are subject to the following additional pre-surgical requirements:

- All criteria listed above for the initial procedure must be met again, except when the subsequent surgery is necessary to treat a complication from the prior morbid obesity surgery .

- Previous surgery for morbid obesity was at least 2 years prior to repeat procedure

- W eight loss from the initial procedure was less than 50% of the member’s excess body weight at the time of the initial procedure

- Member complied with previously prescribed post- operative nutrition and exercise program

- Claims for the surgical treatment of morbid obesity must include documentation from the member’s provider(s) that all pre-surgical requirements have been met

I had my barium swallow test today and the doctor that was present stated he saw a small hiatal hernia and asked if I was on medication, I told him I was for the Gastric Reflux and he said, "Well, they will probably just change your medication!" I am so hoping this do not deter me from getting approved for my lap-band (banded since 2009) removal as well as my revision to Roux en y procedure later. I was told my insurance covers 90% but hope I am approved to have it done. Haven't heard from my Bariatric surgeon's office yet but again only had the swallow test today. #keepingfingerscrossed. Can anyone tell me how long it took for the approval. Also had my first nutrition visit today as well and I was told I have to contact a psychologist for an eval. So, why would I have to go through all of this if I am not going to be able to have the surgeries?

I had my barium swallow test today and the doctor that was present stated he saw a small hiatal hernia and asked if I was on medication, I told him I was for the Gastric Reflux and he said, "Well, they will probably just change your medication!" I am so hoping this do not deter me from getting approved for my lap-band (banded since 2009) removal as well as my revision to Roux en y procedure later. I was told my insurance covers 90% but hope I am approved to have it done. Haven't heard from my Bariatric surgeon's office yet but again only had the swallow test today. #keepingfingerscrossed. Can anyone tell me how long it took for the approval. Also had my first nutrition visit today as well and I was told I have to contact a psychologist for an eval. So, why would I have to go through all of this if I am not going to be able to have the surgeries?

I was told max 2 weeks.