Help!!! BCBS of TX Denied Me
I was informed today, that BCBS of Texas denied my request for Lap Band Surgery, after waiting for 4 months for them to respond. What do I do now. I really want to have this surgery. I am so tired of this waiting game. It is very discouraging. This is all that is left for me to get my surgery date. Please advise.
First of all...I am so sorry. The only thing I can say hun is Appeal Appeal Appeal. The previous poster is correct. Some insurance companies don't cover Lap Band Procedures. Not sure why. Here is a link to a search on did on Obesityhelp regarding Appeal letters. There are a bunch of questions and answers here that hopefully will help you. http://obesityhelp.com/dbsearch.php?Search_Word=%25appeal+letters%25
Best of Luck to you and keep us posted.
~Julie~
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Some insurance companies disapprove on the first try no matte what you ask for. Did you get a reason for it? They may not approve lap bands, but only RNY's. You may not qualify under their guidelines. It may be specifically excluded from your plan. Call and ask why.
Then appeal the hell out of them.
Peter