Post by modestvixen on Jan 12, 2012 23:43:28 GMT -5
Hello everyone! I was directed here from the "other" site, and I am hoping I can get some guidance as I start this process. I am going to just copy/paste most of what I said there because I feel like past two days I have told this story too many times LOL
"Well, from the moment I had my RNY I had wished I had a different surgery. I didn't research well enough, and I can 100% admit that. It's two years later and through severe dumping, multiple ulcers, a hernia, an early out pregnancy, and stalled weight loss well above "success" range...oh yeah and severe anemia....My GI mentioned the only "fix" may be to revise.
Now, he didn't mention what we would revise to. And I don't even know if a revision would be covered despite meeting the three standard criteria (Lack of weight loss, unresolved comorbidities, and medical conditions) because I am currently under the state's insurance, and they cut off a lot of Bariatric services...Doc insists he can get it covered due to medical need. I cannot afford to self pay, and here in AZ revision specialists are non-existant, or I just haven't found one yet.
This is all in starting phase, and I don't even know how far this GI is going to push the issue, but I wanted to get a start on research ASAP. I have the DS website, and I know the DS basics but that is about it, its all BASIC. I don't know if the state will cover an out of state procedure, its a third party, funded by me and the state combined, so Medicare rules don't apply. I know there are two surgeons here that *will* do the surgery, but I am also smart enough to be terrified of the thought of them doing it.
I see my primary tomorrow and they are starting the referral process for the revision from my understanding, not sure if DS was the intention or if revised RNY (hope not). If they say ok let's refer for DS, do I reach out to the offices in CA? Do I call my insurance first? Where is best place for me to start?
Thank you so much in advance!
So.... advice, comments, help of any kind?
Thanks everyone!
"Well, from the moment I had my RNY I had wished I had a different surgery. I didn't research well enough, and I can 100% admit that. It's two years later and through severe dumping, multiple ulcers, a hernia, an early out pregnancy, and stalled weight loss well above "success" range...oh yeah and severe anemia....My GI mentioned the only "fix" may be to revise.
Now, he didn't mention what we would revise to. And I don't even know if a revision would be covered despite meeting the three standard criteria (Lack of weight loss, unresolved comorbidities, and medical conditions) because I am currently under the state's insurance, and they cut off a lot of Bariatric services...Doc insists he can get it covered due to medical need. I cannot afford to self pay, and here in AZ revision specialists are non-existant, or I just haven't found one yet.
This is all in starting phase, and I don't even know how far this GI is going to push the issue, but I wanted to get a start on research ASAP. I have the DS website, and I know the DS basics but that is about it, its all BASIC. I don't know if the state will cover an out of state procedure, its a third party, funded by me and the state combined, so Medicare rules don't apply. I know there are two surgeons here that *will* do the surgery, but I am also smart enough to be terrified of the thought of them doing it.
I see my primary tomorrow and they are starting the referral process for the revision from my understanding, not sure if DS was the intention or if revised RNY (hope not). If they say ok let's refer for DS, do I reach out to the offices in CA? Do I call my insurance first? Where is best place for me to start?
Thank you so much in advance!
So.... advice, comments, help of any kind?
Thanks everyone!
