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Sleeve revision to bypass for GERD and Hiatal Hernia



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I had the sleeve March 2014 & was good for a couple years, but in 2016 was hospitalized with severe inflammation in my stomach, a large hiatal hernia and GERD. I previously had no history of this prior to surgery. I was prescribed 80mg of omerzapole, carafate and zofran. Been suffering with horrible reflux ever since. In February my pcp added 300mg of zantac. Still no relief and the Bariatric surgeon is now recommending revision to the bypass.
Has anyone experienced this? Did the insurance approve the revision for medical reasons? I have BCBS Massachusetts. Thanks in advance

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Before my surgery, I studied the insurance coverage for bariatric procedures, and downloaded all the forms so I could study them so more. I have BCBS TN and revision is absolutely covered, Just be sure to look at everything real carefully so both you and your surgeon know what the requirements are.

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a lot of people have had that done. Insurance policies vary, but I seem to recall that many of them do cover it if it's for medical reasons (as opposed to the person wants to lose more weight). GERD would be a medical reason.

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I have Kaiser. I had the sleeve in 2013. I've had severe reflux for the last 2yrs. They had also found a hiatal hernia recently. From the discovery of the hernia to surgery date it took me about 6mths to get a revision. I didn't have any issue getting insurance to approve it for medical reasons.

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