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Sorry no one has answered you yet. It really depends on your insurance. Did they pay for the first one? Some policies exclude any and all WLS, and some are a once-per-lifetime type of policy. Some cover revisions if medically necessary. And it will depend on the reason for the revision - you might have to show that the revision is needed NOT due to your failure to follow post-surgery instructions.
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
Meaning that your BMI is not high enough? Can I ask what it is? Do you have co-morbidities? Have you submitted for pre-approval, or has your surgeon's office submitted? Have you had a consult with a surgeon yet?
HW: 274 | SW: 232 | CW: 137 | Goal: 145 (ticker includes a 42 pound loss pre-op) | Height: 5'4"
M1: -24 (205) | M2: -14 (191) | M3: -11 (180) | M4: -7 (173) | M5: -7 (166) | M6: -8 (158) | M7: -11 (147) | M8: -2 (145) | M9: -3 (142) | M10: -2 (140) | M11: -4 (136) | M12: -2 (134) | M13: -0 (134) | M14: -3 (131) | M15: +4 (135) | M16: +2 (137)
I own my own small business and have been told by my insurance agent that none of the individual or small business plans will cover it. I'm not willing to give up that easily. I know that BC/BS of LA will not cover ANYTHING related to obesity (as I see patients and have been denied payment if I write obesity on the bill). But I also have patients with UHC, Aetna, Humana, to name a few who have been able to get bariatric surgery. So keep looking and keep asking, I know I will.
Hi everyone. I am new to ObesityHelp. I have been denied insurance over and over and over again because of my weight and height. It is IMPOSSIBLE to pay for WLS out of my pocket, and now i'm at the point of not knowing what to do or just giving up? Have anyone ever felt this way or ever had this happened to them?
Signed
Angry and Upset Obese Diva
Im looking VERY hard for an insurance company that I can get as an individual, not through my employer, to cover the DS. I am eager, but frustrated with this process, as im NOT winning....anybody have any imput or experiences? PLEASE?!?!
I have BCBS of Alabama. I was soooooo shocked to find out today that I got my approval after only three days after submitting it to them (and one of those days was Thanksgiving! lol). I am so excited but nervous! Just happy to finally have an approval because I was afraid they would deny me the first time.
Hi,
I was hoping someone can help me, I am fulfilling my requirements to receive the lap band. I started back in May 2012 and have been denied 3 times (appealing) since I haven't had six months documented weight loss. This will be my last month for a weigh in and I am just getting very nervous because I lost weight 5 out of the sixth months. One month I did gain weight, due to the wonderful things women go through. I am really nervous that I am going to get denied I am trying so hard and have been really struggling, it is not coming off easily and not staying off easily.
I guess what I am trying to ask, has anyone gone through the six month process and gained weight but got approved or denied?
I am 21 years old and have been dealing with weight since I was 9. My BMI is way over 40!
Thank you for any advice or help in advance!