Anyone have luck getting the gastric sleeve covered by BC of California?

mzmercury
on 11/28/07 7:01 am - Springville, CA
or any referrals to an attorney or other specialist that could help to get it done? Thanks, Theresa
BuckeyeSylvia
on 11/28/07 10:36 am - Small Town, OH
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!

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~
 

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