Seeking Appeal Help-Pacificare POS HMO

Ok, I am putting on my game face. I was denied for VSG stating that it is not covered under insurance plan and that's the only reason why. I qualify under the Lap Band and RNY which they cover but I wanted VSG. While talking to the Insurance company a few weeks back I was told that all I had to do was prove why this procedure will work better than the others that are covered.

Well, I am not sure how to start this letter and process. My BMI is somewhere between 51-53 (depends on who's calculating it), I have a history of Gestational Diabetes, Hypertension, and a femaily history of Diabetes, Hypertension. Oh Lower back pains, anemia, my bones really do ache from all this new and old weight I am carrying. I have had irregular periods and problems with pap smears and child birth which the nurse said losing weight would fix (I fixed myself and tied my tubes). So if there is anyone out there that is familar with the appeals letter first step please help!!!! Also if you have examples of a letter and don't mind emailing them to me please do so [email protected]. Thanks everyone!