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animallover1247
on 5/10/18 9:09 am
Topic: RE: My revision denied due to an exclusion... any experience with this?
On May 9, 2018 at 6:37 PM Pacific Time, KayLavonne wrote:

Thanks for the feedback guys. My benefits package states that bariatric surgery is not approved "for the purposes of weight loss". However, I do have GERD, and it worsened after the sleeve. In addition, there is something wrong with my esophagus, and I have a hiatial hernia. I know with gastric bypass, it can alleviate these symptoms. Often people get revisions for GERD. Maybe this is a loophole, maybe not. But I haven't submitted it. There has been a death in the family, issues in my personal life, and health issues. But I promise I will keep you posted. Maybe my journey can help someone else. Even if it is a denial, there is no harm in trying. Keep me in your prayers.

Thanks,

Kay

Everyone has a different policy but my experience is the opposite. I had the sleeve a little over 2 years ago and now need a revision due to severe GERD. I have received two different denials from the insurance company because bypass is covered for weight loss but not GERD. The insurance company told me this morning complications from sleeve are not addressed in my policy. I suppose they would rather pay for the chemo if I get cancer and the expensive PPI and Carafate ($over 700 a month they are paying) I'm on which do not work to control my reflux. I hate insurance companies.

KayLavonne
on 5/10/18 9:03 am
Topic: RE: My revision denied due to an exclusion... any experience with this?

Can you explain further? Like you mean to use dates as the symptoms existed?

(deactivated member)
on 5/10/18 2:37 am
Topic: Surgeon wanted in Europe please

Can anyone let me know if they have experience of a good revision surgeon in Europe please. I've had the band removed 6 months ago and I'd like a bypass. Thanks

MyBariatricLife
on 5/9/18 8:53 pm
Topic: RE: Apollo Overstitch Revision Surgery

I hope it works for you! I've read so much conflicting information on gastric bypass revision. But there was a woman who posted recently about how well the revision went for her. Good luck!

Living larger than ever,
My Bariatric Life

Dizzy

MyBariatricLife
on 5/9/18 8:43 pm
Topic: RE: Finally got some answers

PS Dr. Roslin in NY does revision surgery -- but he's very set on the DS from what I have read.

Living larger than ever,
My Bariatric Life

Dizzy

MyBariatricLife
on 5/9/18 8:42 pm
Topic: RE: Finally got some answers

That must be frustrating BUT at least the revision surgery is a covered benefit. Good luck finding your surgeon!

Living larger than ever,
My Bariatric Life

Dizzy

MyBariatricLife
on 5/9/18 8:39 pm
Topic: RE: How much weight did you lose after RNY revision surgery?

For what it's worth, I came across this study that showed no difference in weight loss between the RNY and the ERNY. They are talking about these as a primary surgery.

I have a consult with the bariatric surgeon coming up as well as I am embarking on a new treatment protocol for the SIBO. It will be interesting to hear what the physician has to say, and I am hopeful for the results of the SIBO treatment.

Living larger than ever,
My Bariatric Life

Dizzy

Johari22
on 5/9/18 6:06 pm - San Antonio, TX
Topic: RE: My revision denied due to an exclusion... any experience with this?

Sorry to read about your loss, sending blessings for the best that the universe can send you and yours! When you write your appeal, make sure that you use chronological orderm so you can clearly reflect the comorbidities you are currently experiencing. I believe you will receive your revision! Just don't give up!

LilySlim Weight loss tickers
A negative mind will never give you a POSITIVE result!
5' 8"
HW 292, SW 280, CW 270.0

LADodger22
on 5/9/18 12:56 pm
Topic: RE: I am so ashamed of myself but you have to start somewhere

Please know that shame may keep you from moving forward. I try to remember that if I did it once, I can do it again! You can too.

LADodger22
on 5/9/18 12:54 pm
Topic: RE: I am so ashamed of myself but you have to start somewhere

I am in the same boat. I had sleeve gasterectomy in November 2005. BW 459 LBS lowest 198Lbs. Current wt. 280LBS.

II don't know if a revision is possible for me. I would love to give and get support. I am thinking about Weigh****chers. Please feel free to lean on me.

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