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Waiting, waiting, waiting



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Hi Revision buddies!

Just a bit of backstory: I had a lapband placed back in fall of 2007, so almost 12 years ago. Unfortunately, I have always struggled with my band when it had Fluid in it (vomited frequently, inability to eat most Proteins, GERD, could not drink anything that wasn't warm or at minimum room temperature.) My band and I officially "broke up" in 2015. All of the difficulties I had been struggling with had gotten so bad that I had developed acute gastritis, and esophageal spasms due to the GERD and persistent vomiting, which resulted in me having to have all of the fluid removed. While the vomiting every time I ate and esophageal spams stopped, the GERD remained and the last 60 pounds I had managed to keep off after my initial loss, rapidly returned.

So here we are in 2019, through an unfortunate incident my husband had earlier in the year, our deductible and out of pocket maximum have been met for the year. The window of opportunity for me to finally end 12 years of GERD and struggle with this band is finally open. I found a surgeon I really am confident in and have had an EGD to check for Barret's and see what kind of shape my stomach was in. I was lucky in that my hernia had not returned and I didn't have any ulcers, but he did notice that even with no fluid in my band, that it seems tight, I'm not really sure what that means, but it would explain why I still struggle with most proteins. At my last appointment, we reviewed my EGD and he was sending the letter to the insurance company. Because my revision would be due to band complications, my insurance doesn't require the 6 months of dieting, psyh visit, etc, just a letter from the surgeon showing medical necessity for the revision. Since I have a history of GERD, we have decided that RnY is the best option. The paperwork was probably sent in sometime after July 3rd, my appointment was late afternoon on the 2nd and I can't imagine that they would be able to get the letter done and submitted the same day. And now I wait. UGH! It's the worst. I don't have any idea how long it should take. I've read the boards and for some people, it's taken as little as a single day for approval. and some waited for weeks only to be denied. It's maddening!!

Thanks for the vent!

TX2NC

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Have you considered calling your insurance company to ask the status? That would be perfectly acceptable to do and you may at least be able to find out how long it should take.

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