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Insurance GERD Revision



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Just curious if insurance will cover you if they want to do a revision from a sleeve to a bypass. 18 months out no weight gain buy having unbelievable GERD affecting my health.

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I think some policies will cover revisions if there are medical reasons - and GERD would be a medical reason. You'll have to check with your insurance company, though, to see if it'll be covered.

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every insurance company is different. Call yours and see. My insurance wont cover it which sucks lol

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I had my surgery in December of 2020. Been experiencing reflux so bad. I have Blue Cross Blue Shield. I read on their website that your BMI can’t be below 35 and you have to have issues. I’m at a 31 BMI. I’m really hoping they approve the surgery because this reflux sucks.

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On 11/19/2022 at 7:02 PM, NewlySleeved12282020 said:

I had my surgery in December of 2020. Been experiencing reflux so bad. I have Blue Cross Blue Shield. I read on their website that your BMI can’t be below 35 and you have to have issues. I’m at a 31 BMI. I’m really hoping they approve the surgery because this reflux sucks.

did you ever have your surgery? I am where you are and diagnosed with extreme GERD, Barrett's Esophagus. Im chocking on acid. I see the nutritionist tomorrow. She said we are going over bypass pre-op diet. My surgeon didn't even sound like he was comfortable with a revision. So, I am a little confused. I know if you're under 35 with other health issues, it is covered and surgeon said with my health issues, he's not worried about the approval. He's more worried about the lifestyle changes and my health issues. I just don't know. What I am 100% certain of......I cannot live with this pain anymore. It doesn't matter what I eat, if I don't eat.

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    • New To This23

      tl:dr at bottom,
      I could use some advice. I went to see my dietician today (not a bariatric surgery dietician, I can explain why I am seeing her if you want to know). She knows I am going to have weight loss surgery as long as I hit the goal weight my insurance told me I need to be at. I have to be at the goal weight by June 24, 2023, in order for my insurance to pay for my surgery.
      I had a weigh in the doctor's office a couple of days ago and weighed 301, my scale at home said 302. However, on the same day, the scale at a friend's house said 313. 
      I knew I had this Dietician appointment two days later and I knew she would weigh me. I continued to weigh myself at home (after getting new batteries) and I was at 302 then 299 and today at home I weighed 303, right before my appointment, when I got to her office I was weighed and it said 313.
      I am concerned about what to believe since the doctor's office and my scale show similar numbers. I also bought a new scale today and it said 313. 
      The Dietician told me I needed to eat more protein, which honestly I struggle with. she said I needed 150 grams!!  I said are you kidding? that seems like a lot.  She used my weight to come up with this number. 
      Should I really be trying to eat enough protein for a 300-lb person or should I be eating protein for a goal-weight person (mine is 170)?   
      also, my clothing is loose like I lost the 20 lbs mine and the doctor's scale shows, and not 10 lbs like everyone else's scale shows. Also, I have always naturally been more muscular even when I was 120 lbs and did not eat any protein aside from what is in plants. 
      tl:dr- should I be eating enough protein to support a 300lb person or should I be eating protein for a "normal" sized person? AND should I trust the Doctors scale more so than the Dietician's scale? 
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    • KatieB_2706

      Hi everyone!
       
      My name is Katie and I am looking for an accountability partner! I am having the RNY on April 3, 2023 - If there is someone looking for daily communication and support PLEASE contact me! I am so excited for this but I would love to have someone who knows exactly when I'm going through to support / be supported by along the way!
       
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        I would love to be your accountability partner. I had the sleeve in 2021, so maybe I can give you some insights.

        Please message me back, looking forward to hearing from you!

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