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Old 07-08-2008, 08:17 PM   #7 (permalink)
SLR
Junior Member

Join Date: Jul 2008
Location: 30 miles from New Orleans
Surgeon: Dr. Thomas
Age: 50
Posts: 5
Default Insuance denial for revisonal has this happened to anyone

I had lap-band surgery in 2005, lost about 75-80 pounds,felt great, pretty successful for the band. Devloped errosin and had to have band removed in Oct.2007 and was to be converted to GB. Dr. opted to wait 6months for healing for fear of complications. The tissue after the removal was not in great shape. Waited the 6months. Suposedly got approval to complete revision to GB, and day before schedual surgery the Hospital cancelled the surgery. I am sure I will never know what happened. In the course of trying to reschedual I learned my surgeon was no longer the covered surgeon under our plan. I was upset but composed myself ,went to see new Dr. under plan and loved him and his staff. Surgery was set for June 25. 6 days before I was called and told I was denied because my BMI was only 36 and none of my illnesses are considered life threatening. I have gained close to 40 pounds since my band was removed. My BMI has gone from 28 to 36. The familiar feelings aches and pains are coming back. (I was really trying to make this short.) I am now hoping and praying for an appeal commitee to reconsider my coverage. Any thoughts or ideas on what else I can do? I am a reck! Thanks

Last edited by SLR; 07-08-2008 at 08:25 PM.. Reason: I am new and not sure how to use yet
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