QuestionI had a lap band done in another country. My BMI at the time was about 35. Since then, I now have a BMI of 40, have high blood pressure, high cholesterol, had cancer and lost a kidney, have had recent borderline AICs. My father died from complications from diabetes and renal failure, CHF and a massive stroke that finally took his life at age 69. I am 57.
I have insurance that will cover reversal and revision, but not if it was done in another country. My problem is that it is NOW that I have the comorbidities and I feel like I am being punished because it was done elsewhere.
If I had an emergency, would they let me die because my surgery was done in another country??? Do I have any rights regarding this issue? Whom can I call?
AnswerYour complications seem complex and I would suggest that if you haven't already, consult with your physician for referral to a specialist. A good nutritionist or dietitian may be able to help you along the way. From what I know, Cleveland Clinic has a strong program in reversals of previous bariatric surgeries.
The limitations to health insurance seem to produce frustrations in both patients and health care providers. Be prepared to learn that if you desire surgery and are accepted as a surgical candidate, you must pay for the procedure and all related expenses out of pocket.
To gain advocates, you may wish to investigate the potential involvement of the Obesity Action Coalition. There may be another government agency that can offer some assistance as well. ObesityHelp.com is also a very informative site where you can seek advice.
If a documented decision of your denial was generated, you may be able to file an appeal. Check with member services for a start.
Hopefully these comments have given you some new ideas. Hope that your health improves and I wish you the best of luck.
Julia Kabakov
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