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Highmark BCBS TN insurance approval

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!!

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Thank you so much?

  • Author

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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