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The J-Pouch Group    J-Pouch Community    Forums  Hop To Forum Categories  J-Pouch Forums  Hop To Forums  Moms, Dads, Family & Friends    J pouch and takedown as "elective" re: insurance?
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J pouch and takedown as "elective" re: insurance?
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Posted
Hello. I am wondering if anyone else had trouble getting insurance to pre-approve J pouch or takedown surgeries because they are "elective." My son had his colon removed in Feb, he's 9, but now I'm getting run-around on this followup treatment. There's no way I can finance it out of my own pocket, and technically Charlie will continue living with the ostomy. I wonder if anyone else has faced this kind of insurance run-around.

Regarding J pouch and takedown, Charlie is SO happy, healthy, and energetic now, I am am having second thoughts about putting him through j pouch. He had horrifying UC, was in the hospital for 6 weeks, including 3 weeks of post-surgical complications after complete colon removal. When I think back to all that, and all that went before it, to see him so completely happy and free now, I wonder what the odds are for Charlie's future re: permanent ostomy vs. J pouch? Any experience or opinions to offer?

His surgery is scheduled 3 weeks from now, so we have some time to think about it.

Thank you all.


Colon removal, end ileo, Feb 2011
J-pouch, loop ileo, July 2011
Takedown, Oct 2011
 
Posts: 20 | Location: Greencastle, IN | Registered: February 08, 2011Report This Post
Picture of Harlan
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I'll answer the second part 1st. Haven't heard of jpouch as elective. I had the same concern after step 1 (of 2)

My surgeon practically guaranteed coverage and said SHE would fight the insurance co. if necessary.

Don't worry, I think your surgeon will also tell you it's in the bag (pun intended)

Your surgeon can tell you, but i think there's no time limit to decide on a jpouch. I think ll the parts will still be there to do it at any future date


Things are never so bad that they can't get worse.
 
Posts: 246 | Location: Arizona | Registered: January 01, 2011Report This Post
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The J-Pouch Group    J-Pouch Community    Forums  Hop To Forum Categories  J-Pouch Forums  Hop To Forums  Moms, Dads, Family & Friends    J pouch and takedown as "elective" re: insurance?

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