Highmark PPO ~ Pennsylvania
My policy provides for and approves the lap and RNY and considers the DS to be *experimental*
Of course, it's the DS that I want and I don't want to (and won't) *settle* for the lap or RNY.
Has anyone had any success in having your DS approved??... either right away or after the appeals process?
I have no problem in qualifying for WLS as my BMI is 46 and I have many other co-morb conditions. I do believe however, that my overall long term health needs will be best served by the DS WLS.
Any pointers/help you can provide will be greatly appreciated. If you have helpful links or articles and/or are willing to share your successful appeal letters, please, PLEASE let me know.