- WHO ARE WE?
- WHY INSURERS DENY
- GET STARTED!
- THE APPEAL PROCESS
- WALTER’S BLOGA blog authored by Walter Lindstrom, President of Lindstrom Obesity Advocacy, focusing primarily on bariatric surgery and obesity treatment insurance issues.
WINNING ON WEDNESDAY – Three takeaways coming from beating CIGNA and winning another bariatric surgery appeal
Whether you are the patient or their caring provider, keeping these three critical takeaways at the forefront maximizes the chances a person needing bariatric surgery will get it.
If your insurance company (or your patient’s insurer if you are a provider) is forcing you to live with intractable GERD following your sleeve gastrectomy, we are able to help and urge you to CALL US TOLL FREE at 877-992-7732 to discuss your options. You don’t have to live with terrible acid reflux just because your insurer says so!
B.B. was like many patients we help. She had very successful weight loss with an adjustable gastric band placed in 2010 but in 2013 she began suffering problems such as vomiting, reflux, swallowing (known as “dysphagia”) and nausea. She couldn’t tolerate solid food, her fantastic weight loss stopped and she started gaining back what she lost. She was devastated. She worked with her surgeon’s office, first on her diet and then she had her band totally deflated. Nothing helped. She suffered for months and continued to gain weight. It turns out she suffered a “slip” of her band, a known complication which can occur and which was confirmed by diagnostic testing. She had benefits for bariatric surgery. Her doctor wanted to remove the band and convert her to a sleeve gastrectomy either at the same time or down the road in a separate procedure. Reasonable treatment plan, right? So what happened?
Cleaning out some old files the other day I came upon an old legal document in an old folder I hadn’t looked at in a long time. It is appropriate that I stumbled upon it as we approach Thanksgiving because reading it made me very …