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Highmark BCBS TN insurance approval



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Posted (edited)

Do any one know how easy it is to get approval for a lap-band revision to RNY through Highmark BCBS TN or if they even cover it? Approval was easy for the lap-band but wasn't sure about revision surgery. I have to have lap-band removed and wait 3 months and have revision. Not sure if they (BCBS) would count as having 2 surgeries and would pay for the removal but not the revision. I checked the website and it seems unclear to me and I am afraid to call them and ask or do the physician's office take care of submitting whatever is needed to check for coverage and what percentage? I know my questions sound redundant but I am really seeking sincere advise. Thank you in advance!

Edited by Quinnmedicinewoman
Clarify type of insurance

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I know you're afraid of a negative answer from them, but the best thing is to just call your insurance company and get all your questions answered. Good luck. You can do it!!

Sent from my SM-N960U using BariatricPal mobile app

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Thank you so much🙂

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So, got a call today confirming my barium swallow test tomorrow and asked the receptionist if I was jumping the gun of asking if my insurance will cover both surgeries (removal of lap-band and revision to RNY). She called me back and stated that my surgeries will be covered under my insurance. Removal of lap-band as well as revision to RNY 3 months after the fact. Fortunately, my insurance covers 90%! All I can say is Wooooo Hooooo!

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