Duodenal Switch Forum (DS)

I have BC/BS and was told that they cover revisional surgery. I did all the things they require (nutritionist, psychiatrist, etc) but was received a denial. I am waiting on my patient advocate to call me back.

Any advice would be greatly appreciated.

My experience is a long time ago, but when I was initially denied (they covered WLS but not the DS back then - experimental), because my company had a self-funding insurance plan, I was able to appeal directly to the company (with the help of my HR rep) and won.

First see why they denied you, and then figure out with the help of the advocate what your next step is. I would also contact your HR/benefits person to see if they can help.

BC/BS has dozens if not hundreds of policies - it all depends on the policy chosen by your company, what state you live in -- so many factors.

Good luck!

Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175

KikiDee
on 7/27/20 6:25 pm

VSG on 06/27/16

Topic: RE: Revision from SG without re-sleeving

Hello!! I just had the same thing! I had the sleeve about 4 years ago and lost the same 130lbs and got pregnant and gained 50-60 back. I just had the DS 5 days ago and yes I'm pretty hungry. I chew on ice and that seems to curb the hunger but not for long. I also have the worst headache that won't seem to go away. I have lost 21lbs (pre optifast prep) I did the prep for 1 week and lost 8lbs so it seems to be going pretty well in that aspect. However yes I am hungry!!! So so so hungry!! And I want coffee which I did not care about before. And I am in more pain and more weak than the last time as well. It has been a totally different experience this time around!

good luck and keep up the good work! We just have to keep in mind why we did this in the first place! Soon we will be able to eat again!

Member Services
on 7/27/20 12:08 pm, edited 8/2/20 12:20 pm - Irvine, CA

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Janet P.
on 7/27/20 11:32 am

DS on 02/25/03

Topic: RE: 14 years post OP and need to get back on track!

Th DS forum isn't dead I check the DS page almost daily. Just not alot of DSers around. Congrats on recognizing you needed to get back on track.

You can do it!! Back to basics. High protein, low carbs, lots of water. Not sure what type of eater you are but I'm a grazer. I can eat all day long. My tips - snack on protein - nuts, cheese, deli meat, jerky. Eat good carbs. A couple of years ago I started creeping up too - got about 15 pounds higher than I wanted and wasn't happy. For me it was the added carbs (of course).

Janet in Leesburg
DS 2/25/03
Hazem Elariny
-175

islandgirl55
on 7/27/20 11:06 am

Topic: RE: How was your process?

After more than 4 yrs, I still am in shock that I have kept the weight off. It took about a year to get to goal but I still had to keep amounts and types of food in a journal. It kept me honest. I had one small problem with a partial obstruction 4 months after surgery. I believe it was from not chewing cheese well enough. I follow the supplements religiously and get blood work done religiously. It's part of my job to make this a success. About a year ago I was worried about creeping weight(3 or 4 lbs) and went to a very low carb diet. Stopped grazing. Since then I am below goal and keeping it off almost a year already. I need a small hernia repair on abdomen but I'm waiting for a decrease in covid before I take the chance.

It's been a wonderful thing for me. I couldn't be happier.