DENIED!
Keep on them!!! They will try to discourage you to save the expenses!!!! Keep on track with the pre-op weight loss and appeal, appeal, appeal. There is a person who had the approval from hell on the board named Doodlebug. You can go into her posts, way back when she started to post and follow her journey -- talk about the appeal process. You may get some help from those posts for your appeal.
XXOO -- I'll keep you in my thoughts!!!