I had documentation of all the medical issues with the band. I had testing and total unfil for 6 weeks a year out and for 8 weeks at 2 years out. Every fill and unfill was documented. The testing of course as they paid for it. I could show I lost that first year before being unfilled. I could show I had gained every time unfilled. They agreed to pay to remove it based on medical problems. Once they went in and removed the band, with the photo of how it looked after, they determined it was caused by medical problems and NOT non compliance.
My insurance had a once in a lifetime WLS policy no matter who paid for the original surgery.
I do know that some surgeons will do non covered work at the same time as covered. Plastic surgeons can do the surgery while covered work is being done and just charge for the difference. I, myself was researching getting the sleeve in Mexico in case the insurance here wouldn't cover it. I spent months on the Mexico boards and felt good with a couple surgeons. Than someone here gave me the info for the surgeon in Ohio and I could get the surgery here for not much more. Once I was approved I blew the info away. Sure wish I hadn't. It was a lot less than 12,000.
That said, my center charged the insurance 40,000+ for the band and 60,000+ for the sleeve, so 12,900.would be a deal.