VSG not covered but could get authorized

If the surgeon (Dr. Grant Searles) submits for medical necessity that the sleeve is the preferred option for me, insurance could authorize for it but its otherwise not covered.  I am disappointed and yet crossing my fingers and hopeful.  The insurance covers 5 different procedures, all of which are bypass.  Has anyone else done this and if so what has your experience been?  Is there any concrete reasons a surgeon could use to support such a request and if so what would they be?  I am hopeful but worried.!  consult appt is on the 23rd of this month.  Thanks!

Dr Searles is my DR..I have Medicaid and they said yes..My operation is Jan 12th..did you get it?

Sorry I didn't post I haven't logged on... no I did not they approved it for my insurance literally in January, my surgery was Jan 4th.  How are you doing?

I had full bypass done in 2011, and know what a pain it is to get insurance to even look at the requests. Keep talking to your primary care and call your insurance Co and have them give you a reason why and for a denial letter so you can appeal. 

I have gone through a lot to get what I have needed. The bypass was actually the easiest part , the problem came when the extra skin started causing problems such as migraines, hip and knee problems,ect... I also had a bad diasisis . All my Doctors agreed that the first step to fix this was to remove and fix the diasisis . My insurance said yes to half but not all the operation.  After calling them in tears they said that ,that half hadn't even been looked at . So they promised to put it through again.  When I called, I was told it was denied ,so I waited for proof, so I could appeal.  After a week I called again with the express reason to get the paperwork to appeal.  IT WAS NEVER PUT THROUGH The First time!  Within two days it was approved and I am now recovering from a Pandulectomy not sure how to spell it. 

Sorry this is so long but it is really important that you don't give up . My husband has a theory that they won't even loo****il you get serious.  I never got angry or blamed anyone for delays,  I just told the truth about not being able to walk and debilitating migraines.  

Never give up