Woot!! The appeal worked!!!

Sherrie P.
on 10/24/12 9:48 am
RNY on 02/06/13

BCBS overturned the denial and approved my lapband removal and revision to RNY!!!!


WOOOO HOOOOO 

Don't be afraid to appeal!!!

Now I am trying to get a date, unfortunately we are too darn close to the holidays to take off work - so it looks like I am in for some more waiting.

Revision Lapband to RNY 2-6-2013   HW: 286  Pre-Op Diet: 277  Surgery Day: 265  Goal: 155  CW: 155

Plastic surgery 8/28/2014: Brachioplasty, mastopexy, & abdominoplasty.

Plastic surgery 1/27/2015: Butt Lift

    

pineview01
on 10/24/12 11:40 am - Davison, MI
WAY TO GO!  What great news.  Go get 'em.

BAND REMOVED 9-4-12-fought insurance to get sleeve and won! Sleeved 1/22/13! Five years out and trying to get that last 15 pounds back off.

scarlettbegonias
on 10/24/12 4:17 pm - Australia
RNY on 10/19/12
 I wish there was a "like" button ,I left a MSG on the rny forum but again congrats that's fantastic news!!

Band placed April '08 four years of hell-Band removed may '12~Non VSG July 26 '12. All went to hell~RNY on the 19th october '12~Leak & infection 26th october '12 ~infection 24th November '12, 2 weeks hospital~infection 25th dec '12 4 days ~30/5/13 hernia repair 4 days~hw120/sw/115/gw/58kg

    

CSerwalt
on 10/24/12 10:01 pm - Philadelphia, PA
DS on 11/28/12
Congratulations ! Thats awesome!
Allen Y.
on 10/24/12 11:24 pm - Garland, TX
 Congrats!!!

     

thinlizzie12
on 10/28/12 3:00 pm - KS
DS on 01/24/13

That is so awesome Sherrie! I am so happy for you! Hopefully we both will have a great start to 2013!!!!! Keep us updated on your date!!!!)

Sherrie P.
on 10/29/12 6:42 am
RNY on 02/06/13

Thank you ;-) I am scheduled for February 6, 2013. I could not take time off from work at the Holidays, which is our busy season and I had a trip to Mexico planned in the middle of January - so we decided best to clear the schedule and go for February.  I am anxious to start this journey, but at the same time I know that waiting was the smartest decision.

THIN IN THIRTEEN!!!

Revision Lapband to RNY 2-6-2013   HW: 286  Pre-Op Diet: 277  Surgery Day: 265  Goal: 155  CW: 155

Plastic surgery 8/28/2014: Brachioplasty, mastopexy, & abdominoplasty.

Plastic surgery 1/27/2015: Butt Lift

    

Rebecca F.
on 11/13/12 6:06 am

What reason did they give you the first denial?

Sherrie P.
on 11/13/12 7:45 am
RNY on 02/06/13
Non compliance of prescribed diet or nutrition plan and no evidence of pouch dilation.

Revision Lapband to RNY 2-6-2013   HW: 286  Pre-Op Diet: 277  Surgery Day: 265  Goal: 155  CW: 155

Plastic surgery 8/28/2014: Brachioplasty, mastopexy, & abdominoplasty.

Plastic surgery 1/27/2015: Butt Lift

    

gaila23
on 11/30/12 6:17 am - Chicago, IL

Hi,

I would like to have a revision weight loss surgery.  I have BCBS of Illinois.  I was wondering if you could provide a copy of the letter you sent to the insurance company to appeal the denial.  Also, how did you prove that you were compliant with the prescribed diet or nutrition plan.  My email address is [email protected].  Thanks a lot and congrats!!!!!

 

Gaila23        
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