Lapband reversal??

mrsprez_04
on 4/19/12 1:12 pm - Racine, WI
I am exploring options for different kinds of WLS. I am wondering has anyone voluntarily reversed the lapband surgery or do you know anyone? What happened? Does insurance pay voluntary reversal? Thank you!
Nic M
on 4/19/12 1:38 pm
I had the band removed, but it didn't reverse the damage done. The majority of people I know with bands have had to revise to another surgery or have the band removed. Insurance did pay for my surgery. It was deemed, "Medically necessary."  A lot of insurance companies balk about paying for removal unless there is a medical reason for it. Also, a lot of insurance companies are implementing a "One WLS per lifetime" clause, regardless if they paid for your first surgery or not.

http://www.obesityhelp.com/forums/revision/a,messageboard/bo ard_id,5360/

If you're having health issues from the band, document them and make sure your doctor-surgeon-health practitioner knows about every single one.




 

 Avoid kemmerling, Green Bay, WI

 

mrsprez_04
on 4/19/12 9:09 pm - Racine, WI
Thank you
effini
on 4/19/12 4:51 pm - CA
Revision on 10/18/12
I'm in my 2nd round of complications and expecting a recommendation to revise to sleeve. My surgeons told me that they didn't expect any problem from insurance because my BMI is still above 40. If you're below that, insurance may cover band removal but might not approve a revision.
mrsprez_04
on 4/19/12 9:06 pm - Racine, WI
Thank you
TamaraL
on 4/19/12 5:38 pm
Revision on 10/08/10 with
a lot of insurance companies have a 1 surgery per lifetime so be careful when picking a surgery. 

I chose the band first.  I had complications 6 months down the road.  I was dedicated to the band but the tighter it got the worse my problems got.  1 1/2 years down the road the harder  things were.  I was lucky. my insurance allowed me to revise. 

You have to choose what surgery is best for you.  I exercised faithfully and ate exactly like i was supposed to.  I still had complications.  Its just not the right surgery for me.

Make sure you understand the complications of all surgeries when chosing.  Also choose the best surgery based on what you need.

I chose the lap band first because I thought i needed to control the volume of food i ate.  I did have pre diabetes and felt like the band would help me lose the weight and i would be okay.  I could not revise to the sleeve because my heart burn was already so severe.  I revised to RNY even though i was very against it at first.


Tamara



 

mrsprez_04
on 4/19/12 9:05 pm - Racine, WI

Thank you

MARIA F.
on 4/19/12 6:28 pm - Athens, GA

A lot of ppl have their bands removed "voluntarily". Many get so sick from the band they don't want to live with the CRAP-BAND in them anynore.

 

   FormerlyFluffy.com

 

mrsprez_04
on 4/19/12 9:05 pm - Racine, WI
Thank you
melly37
on 4/19/12 9:12 pm - Rio Rancho, NM
VSG on 04/03/12
 I just had my band removed and my insurance allowed me to revise to the sleeve.  I have only had it for 2 weeks, but  I love the pressure being off of my esophagus. 


  LapBand Surgery 01/10/08, Revison to Sleeve 04/03/12

mrsprez_04
on 4/20/12 3:24 pm - Racine, WI
Thank you for sharing your experience.
Pegray
on 4/29/12 2:03 pm - Rogersville, MO
 What was the reason for the removal? I am trying to get my insurance to cover removal of my band and revise to sleeve but they just sent back saying it was not medically necessary.. I have severe heart burn even with no fill. 
melly37
on 4/30/12 7:36 am - Rio Rancho, NM
VSG on 04/03/12
On April 29, 2012 at 2:03 PM Pacific Time, Pegray wrote:
 What was the reason for the removal? I am trying to get my insurance to cover removal of my band and revise to sleeve but they just sent back saying it was not medically necessary.. I have severe heart burn even with no fill. 
So sorry to hear that.  Please appeal. 

For me, my surgeon put in that my restriction is too inconsistent, making it very hard to monitor my weight.  Getting fills and unfills so often was just feasable, especially since my surgeon is 5 hours away. 

He was very surprised that my insurance company agreed to it, all I know, is I am very thankful that they did!


  LapBand Surgery 01/10/08, Revison to Sleeve 04/03/12

Pegray
on 5/1/12 4:28 am - Rogersville, MO
 I have an appointment Thursday wit the PA to see if I have a pouch dialation or any reason they can find to appeal. Did you say you have Cigna? 
They told me yesterday I could self pay,but that is 12,000 dollars I could go to Dr. Alveraz in Mexico and have it removed for 4,000 and if I do not have too much damage get it done totally for 9,000 dollars. US medical cost has gotten way out of control!
Is the sleeve 100% better than the band? I have read so many post and everyone always says they would do it again in a heart beat!!!

Thanks,
Peggy

melly37
on 5/1/12 6:42 am - Rio Rancho, NM
VSG on 04/03/12
My insurance is Presbyterian.  Every employer funded health insurance negotiates rates and different levels of coverage with the insurance company.  So, just because I have Presbyterian, someone getting coverage with Presbyterian through a different employer might not have the same benefits.

So far, I absolutely LOVE my sleeve!!   I have been on solid food for 2 weeks now.  I never have the tightening in my esophogas, I have the same, constant restriction (except during PMS, which was the same with the band and pre-WLS).  Once I am at goal, I know I will be able to eat things the band would never allow, such half a sandwhich or a small slice of pizza, etc.  I stay away from high carb foods for now, while I am in the losing stage. 


  LapBand Surgery 01/10/08, Revison to Sleeve 04/03/12

evydog
on 4/19/12 11:46 pm
 I just had my band removed 9 days ago. My insurance will not under any cir****tance cover anything weightloss related, so I paid out of pocket. I chose not to revise. Yes the band is removable but I wouldn't say reversible... It causes a lot of problems that don't ever go away. 
mrsprez_04
on 4/20/12 3:26 pm - Racine, WI
Thanks for sharing. I'm glad to know about the problems w/ lapband.
ronniesnana
on 4/22/12 10:27 am
I am also going to be a self-pay sleever. My insurance covers lap band and gastric bypass but not sleeve but i know in my heart that the sleeve is for me. May i ask what you paid. My surgeon is charging $18,000. Wow that is a lot of money but my health is worth it. Good luck
evydog
on 4/22/12 10:30 am
 Just removal was $9,000
Cherokeesage
on 4/20/12 1:23 am
RNY on 02/24/12 with
I had the band for 3 yrs and am now 8 wks post of RNY.  From my personal experience I would not want to see anyone have the band.  I am so glad it is out and I am pain free.

Banded  Oct 2008:  290       
RNY Feb 2012:        245    
Dr's set goal:            170 reached Oct 11, 2012
My goal:                     160  reached Dec 1, 2012
Today :                       145-150

I am half the person I was in 2008.