Fed BCBS?

losing_the_band
on 7/14/11 4:34 pm
Revision on 08/27/15
I'm looking for anyone that was able to get Fed BCBS to cover a revision surgery when they had a BMI under 35.

Lap-Band 2007

Lap-Band Replaced 2011

APPROVED for revision to RNY! Awaiting surgery date!

vortexbanding
on 7/20/11 1:39 pm - New Orleans, LA
I just had Revision RNY with Fed BCBS last week.

My BMI is approx. 21.
Pre-op BMI 52.6 (2008)
Current BMI 20.7 (2009)
Revision RNY 07/11/2011
losing_the_band
on 7/20/11 2:32 pm
Revision on 08/27/15
Would you mind sharing the cir****tances of it and how many hoops you had to jump through?  I'm worried they won't cover mine, since I had my original surgery (lap-band) through a different insurance company.

Lap-Band 2007

Lap-Band Replaced 2011

APPROVED for revision to RNY! Awaiting surgery date!

vortexbanding
on 7/21/11 12:15 pm - New Orleans, LA

I had a large ulcer that was not responding to meds.  I didn't jump through any hoops at all.  My hospital took care of the pre-authorization request, and Fed BCBS approved it immediately (1 or 2 business days).  I literally had surgery just a few days afterward.  I was in a lot of pain and wanted surgery ASAP.

Pre-op BMI 52.6 (2008)
Current BMI 20.7 (2009)
Revision RNY 07/11/2011
losing_the_band
on 7/21/11 1:08 pm
Revision on 08/27/15
I'm hoping my situation will be that easy.  I want to revise from a lap-band to a sleeve.  I go on Monday to see how bad my band is (I haven't seen a surgeon in 2 1/2 years).

Lap-Band 2007

Lap-Band Replaced 2011

APPROVED for revision to RNY! Awaiting surgery date!

CindyLyn
on 7/21/11 2:31 pm - Evadale, TX
I have BCBS Federal and they are making me wait!!  I've been jumping through their hoops since before March '11...  When they told me it could take up to a month they were not lying!!  I got a letter from them on June 8 stating they needed additional information from my previous surgeon... Long story short I finally got everything they needed and faxed it to them on July 6... I have yet to hear anything... when I called the lady told that it could take up to two months now.  My BMI is right at 39.  I had Crap band in 08 and I'm requesting gastric sleeve... For the most part I just want this band out of my body... I have no fluid in it and I still get stuck and get sick if I attempt dense protein.   I hope you find out something soon... for me... I'm not holding my breath...

Revision from Lap Band to Gastric Sleeve.  August 16, 2011

Most Active
Recent Topics
×