Seeking Help w/ BCBS Denial of Reversal

Hello All,
I had a RNY in FL about  6 yrs ago- recently due to numerous complications I was advised by my surgeon to have a reversal. I very much agreed with him and set the date. Unfortunately, the night before BCBS of SC denied my request. I appealed and had my doctor to a one on one with the insurance director but was denied a second time. My policy says they will not cover any weight loss surgery or complications from any previous surgery. If I do self-pay the hospital wants $15,000 for a deposit and the surgeon wants $3,600 - I don't have this but seriously feel like I am dying. This is no longer a "weight" thing but a life or death issue. Does anybody have any experience with BCBS of SC -any and all advice will be appreciated. Thanks!
Deb

Unfortunately, I had the same insurance company.. through our small business. We have been with them for 19 years and they would not budge on the "written exclusion from the policy". They had an exclusion in our plan that said no weight loss surgery what-so-ever, or anything related.. Even for my father who weighed 620 lbs when he had surgery. We both were self-pay. My only suggestion is to try to get your doctor to file it for the medical issue you are having and not the "problem as a result of gastric" etc.. Good luck ! 

Well not great news but I REALLY appreciate you taking the time to respond. Have you had any success getting any follow-up care paid for via medical issue after you did the self-pay? I had BCBS of FL when i had the surgery so it surprised me that BCBS of SC was so radically different. Thanks.

Unfortunetly, all of the BC/BS are all different. I had BC/BS of NC and my surgery was covered 100%. It all depends on what your employer wants in the policy. Alot of companies are cutting corners and try to keep the premiums lower so they omit a lot of things, like WLS.
Insurance companies suck! I just tried to renew the  life insurance for my husband ,which is required every year, and because he is a type2 diabetic they turned him down, but  we had the same coverage with the same company  over the past 7 years for him and we have always put it down that he has diabetes. It ****** me off that I paid out all of that money for that many years and now they won't cover him, and there is no way to get that money I paid out for the premiums back. I honestly think the whole world is going nuts, lol. I'm sorry to hear your having problems after surgery and I do wish you all the best. I will pray for you and hope that someone somewhere has enough sense to know  that if a person is sick ,no matter what it is caused from, that they deserve to get their medical sevices covered.
Take care!
Mary