help with an approval letter

Hello , I am a noob to obesityhelp. I was denied by bcbs a week ago and was in the process of appealing. If anyone has any suggestions I would be so greatful. thanks for your time. Andrea Macdonald

Andrea, I'll give you my standard answer!!! Call the insurance, ask to speak to someone who is responsible for Bariatric surgery decisions. If you find someone nice, get their name so you can continue to contact them personally. Be extremely courteous, they are very busy and used to getting yelled at so niceness disarms them sometimes. Ask for an explanation of your denial, explain that you are requesting a life-saving surgery, stress co-morbidities that you may have (diabetes, hypertension, sleep apnea, urinary incontinence, hypercholesteral). Don't stress lifestyle difficulties too much, they like medical problems more. Keep stressing that your Doctors believe you should have this surgery. Keep saying it is life-saving surgery for you. Just try to get a toe in the door. If they soften up at all ask what steps you need to take to get an appeal written that would be satisfactory. Sometimes they will help you. They're not heartless, just doing their job too. Hugs and good luck, Lana

Lana thank you for your response. I will call them and see how it goes. thanks again. I wii keep you posted. andrea

Has your primary done a letter of "Medical Necessity"? If you also have osteoarthritis, is another one most insurance companies accept for approval. Good luck and keep us posted. Charlotte

I just had my pcp write a letter this week. Thank you for the info. I will keep you posted. hugs Andrea