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brttnyj

Self Pay Band Removal

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Hi! I was originally denied through my insurance for a revision. However I think I have found the best way to do RNY. I will have to be self pay to remove my band, then start the consultation for RNY! My policy states that a repeat surgery will be paid for if patient was compliant with first surgery! Has anyone had a similar situation to this?

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A word of caution here that this route might not work for you. I've read of others where their insurers had nothing to do with their first surgeries but still used medical records to deny revisional surgeries. Given they've already denied you....they know you have a band. If you don't meet the criteria for a paid revision then you might need to look at selfpay options for the actual revision. I'm interested in what they consider to be being "compliant"

 

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