I will have Anthem BCBS as of January 1, 2013 as my primary insurance and SC Medicaid as my secondary insurance, I have gone through the entire process for RNY, and the request for RNY has been submitted to the insurance companies for approval. I recently read info about the DS( which I had never heard about before) I really think that it is a better choice for me. There isn't anyone who does the surgery in SC and that is my first problem but I also don't know what to do since I am at the end of the process. What can I do to get insurance to approve DS instead of RNY and will I have to do the 6 months over again since my current surgeon does not do DS?
The closest 2 DS surgeons are Dr Smith near Atlanta, GA and Dr Sudan in Durham, NC. Their contact info is on www.dsfacts.com. That web site will give you a lot of info about the DS and there may be some insurance help there as well. Welcome!
I don't have the same insurance you do but I can tell you how it worked for me. I went through a program here in Maine thinking I was having a sleeve or RNY but half way through decided I also wanted the DS. I continued the 3 month program here in Maine but contacted a DS surgeon out of state. I finished up my 3 month program here in Maine contacted the program that I was going to have surgery out of state and to please send all my records to my new surgeon. I can't say they were happy about me pulling out right before surgery but all the paperwork was sent to my new surgeon and their office sent in for the approval for me and I was approved for the DS. I can also tell you that my insurance requirement of 3 months ended up being much longer wait for my surgery just because you are trying to jump through all the hoops and the amount of reports and paperwork that need to be shuffled here and there takes time.
Best of luck,
DS 12/06/12 Dr Kemmeter
Plastics with Dr. Sauceda 8/14/2014
Lbl, bl/ba, al, tl, fl
HW/255 SW/239 CW/129
I switched from RNY to DS at the end of my 6 month.. new surgeon as well.. all b/c my former surgeons hospital was now out of network.. so i took all my paperwork.. made a consult with a new dr and it was submitted to the insurance and approved in less than a week. i think the "prep work" is consitant with all the surgeries for the most part... just make sure you get ALL you documents from your prior dr, and any other stuff you had completed as well and given to them. letter from PCP, weight history, physc eval, dietician, etc.. i had everything ready to go and as soon as the new dr saw me... told me about the DS i was convinced it was the way to go and they submitted everything the next day.