hello...wondering what happened with your situation. i am dealing with something very similar right now have bc/bs. any insight would be great!
I'm happy to say that after a level 2 appeal, Anthem overturned their decision. They agreed that my revision was medically necessary. I had to hire Walter Lindstrum who is an attorney who specializes in bariatric surgery. In the end, I'm going to have the gastric bypass with less intestine bypassed than they do in the regular procedure. I have some scar tissue from the band and didn't want to risk the severe reflux with the sleeve. The surgeon was also convinced that I would eat too much with the sleeve because it is so much larger than the pouch.