BC/BS PPO of IL
Hi, all I can say is good luck to you. My file was submitted for the RNY and I was given the run around, and finally arfter claiming they needed this or that, which everything but one was in the file, I was denied. Denied because the diet I was on was not low enough in calories. It was a Dr supervised diet, imagine that.
Be prepared! Have EVERYTHING and I mean EVERYTHING covered! They deny for the wind blowing east when they sayit has to blow west. Kidding-but honestly they have a stamp with deny on it and ready to use it! Give them no reason to deny!
I was denied for lap band and I thought I had every base covered. So be ready and Good luck.