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Hello all! I had the sleeve March 8, 2016. I recently got denied for panni/abdominoplasty. Has anyone had any luck with an appeal???
Hi
hoping someone where can help. I just had my final meeting with my doctor and scheduled my revision RNY to DS. 2 years ago my insurance denied my revision so I am 100% self pay. I got all my payment information today and the woman at the doctor's office told me she would need to "run the insurance info through" for the hospital just so they have the denial info? huh? the LAST thing I want is for my insurance company to have any info on this surgery. I majorly understand the risks of any complications in the hospital and being responsible for the costs personally since I am paying for the initial surgery. I understand that risk and am willing to take it. I also understand that if I go home a few days or weeks later sometype of complication happens, that I should be able to run that through insurance and have it be covered (different medical coding). So with all this being said the LAST thing I want is for the insurance company to have any inkling of this surgery
Has anyone ever had this experience? I am very concerned now that she said that this morning and I cannot think of anything else...any insight would be appreciated.
I'm new to this website, and have been surfing the internet for answers. First I'm 5'6", and weigh 270, with sleep apnea, and asthma. I've had knee arthroscopic surgery on both knees due to weight. My primary referred me to a bariatric surgeon that accepts Medicare, and he has sent the surgeon a letter of medical necessity for the surgery. I've read conflicting information with regards to the 6 months of medically supervised weight program. Can amyone answer if Medicare still requires this? I have my appointment with the surgeon next month, and I'm hoping I qualify for surgery. Any information would be so helpful! Thank you!
i have the same issue and would like to know if there is a way to fight this as well. I see you posted this quite some time ago, so i wanted to reach out to see if you had any advancement on this? Thanks in advance
i waited less than 2 weeks..federal employee with Fed B/C
Hey guys! I recently switched jobs and no longer have insurance through my work. I have been looking into individual plans with my main goal being VSG. Just wondering if I can get some opinions and info about the processes you went through and how you felt about the support offered to you through the insurance company. Also pre-approval process info. I previously had United Healthcare and I thought they had a great program but since I have a choice I would love to hear what you think! Especially if you recently got surgery/approval or are going through it right now! Also if anybody has gone through a similar situation I'd love to hear all about it. Thanks!
I was denied revision because I was too compliant I guess.... Got to goal and maintained for 11 years when the stupid band failed me and slipped. Insurance won't revise due to low because of compliance LOL, go figure
Now I've gained 35 pounds in 4 months since band removal
Hello,
did you have any denials along the way? I have Highmark BCBS and am seeking a bypass after my band had to be removed. I was told some dx code from testing for lapband failure or the band removal itself triggers my "one per lifetime bariatric benefit" as used!?! I didn't have this insurance when I got my band.
any info helpful,
thanks!
julie
Hello. Were you succesful in getting lepband to another surgery with your insurance?
thanks,
julie
Hockeymom87 · 0 replies · 853 views
