My appeal letters - in case they might be useful

I have been fighting the longest revision appeal in the history of appeals (about 14 months now). I figured all that work ought not go to waste. So I've posted the letters on a blog in case it helps anyone.

I had a lap band that failed. I eventually won the fight to get it taken out and am still fighting for coverage for my revision to a VSG. My insurer is Federal BCBS and my appeal is now at the OPM in Washington, DC.

My latest letter is a summary of all (and I do mean all) of the arguments for medical necessity and references to a dozen or so studies that prove my points.

Here's the link:
http://vsgappeal.blogspot.com/2010/07/summary-appeal-letter- studies-and.html

If this doesn't work it's on to a lawsuit. Looking just at the details in the latest letter I don't think they have a denial leg to stand on and I'm pretty sure I'll win. Just hat to waste the time and taxpayer dollars to take it that far. But I'm pretty motivated - they have to get this fixed so it doesn't happen to other people.

Britt

Thank you!