Denied VSG by BCBS DE..any appeal advice

(deactivated member)
on 1/16/11 9:31 pm - Elkton, MD
I started my journey with CHRIAS in June 2010 and during my 6 month wait, BCBS DE changed the VSG policy from bmi of 40 to bmi of 50 or above. But you can still have lapband or RNY if you under bmi 50. My current bmi is 43 so it was denied.

Was wondering if anyone out there had any luck appealing with BCBS and won? Also, if you win your appeal, do they pay for the full surgery or do you still have to pay your portion since I also now have to pay 50% of the allotted amount since they changed that policy also.
Elissa H
on 1/17/11 4:10 am - Wilmington, DE

WoW!! Shame on  BCBS. Do you have any other insurance options?
Do not gain to meet the BMI requirements. Check into the RNY. I had my WLS 7 years ago this month. I am happy with it. I give a support group at Christiana Hospital tomorrow night. If you come, maybe you can talk with others that have been in the same sinking boat.  Details on the support group is in a post from last week. Date, time & place.
((HUGS)) Elissa

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