Revision after having my sleeve in 2013, due to regain I’M just waiting for my insurance to approve my surgery hopefully before this this year ends..

2 months

Less than 24 hours for my revision, but she called and gave the majority of my information on the phone and then faxed in the rest to back up their phone call. It was significantly longer for my band surgery, but I was denied for that once or twice.

Approved 2 weeks after submission to insurance from surgeons office. But total 4 month process.. some insurances will approve starting at 3 months if you complete everything within that time frame.
(3-6 mnts is the usual time)

I had the surgery less than two months after I applied for coverage with Harvard Pilgrim. My BMI was 40.

Thank everyone for the information ?? thank I get approval soon

48 hours Blue Cross

On 10/28/2019 at 11:27 AM, diane78 said:

48 hours Blue Cross

That’s what I’m hoping for!! I have BCBS of Virginia and I turned in all my paperwork today. Hoping for a FAST turn around.

It took bcbs of ks 2 weeks to deny me for a revision and my revision is for acid reflux.

17 minutes ago, bikerchick519 said:

It took bcbs of ks 2 weeks to deny me for a revision and my revision is for acid reflux.

Get the surgeon to say it's medically necessary

1 minute ago, Superman84 said:

Get the surgeon to say it's medically necessary

He did. They even coded it as a surgery for acid reflux. But the insurance company says it is to fix a complication due to complications from weight loss surgery, which is not true at all. My insurance also said my doctor cannot call and do a peer to peer to fight for me, only I can do an appeal which the doctors offices think I cannot win just because of the way they are refusing everything.

9 hours ago, bikerchick519 said:

He did. They even coded it as a surgery for acid reflux. But the insurance company says it is to fix a complication due to complications from weight loss surgery, which is not true at all. My insurance also said my doctor cannot call and do a peer to peer to fight for me, only I can do an appeal which the doctors offices think I cannot win just because of the way they are refusing everything.

Some insurance companies default is to deny everyone for some things. I think making an appeal at least once may be worth it.

Edited January 4, 20206 yr by JessLess