Anyone have luck getting the gastric sleeve covered by BC of California?
From my understanding, CA has the best external appeals process than another other state in the US. I know there's a lady on the DS forum who is very knowledgeable. Her name is Diane. With that being said, I'd also recommend Gary Visco who's got a couple of posts at the top of this insurance forum. I think he has a 90% approval for appeals. He's also very reasonably priced ($450 for a first appeal). I wouldn't hesitate to contact him. I almost used him for my first submission but my surgeon's office was confident of approval so I decided to used him should I be denied. I contacted him and he personally emailed me back saying he would take on my case for a denial. Luckily, I was approved quickly so I didn't need to use him. However, just from what little contact I did have, he seemed perfect for those of us dealing with insurances, denials and obesity.
Hope this helps! Best of luck!
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HW/SW/CW/GW 231/225/123/130-125
~Surgeon's Goal of Normal BMI reached at 6 months Post Op~
~Personal Goal Range achieved at less than 10 months Post Op~