I was denied a Bariatric Consult

I have Blue Shield HMO- Access Medical Group. My PCP made a referral for a Bariatric consult. Well I was denied because "its not medically necessary". Does anyone have any suggestions/advice on what I should do now. I did not go to my PCP for the surgery I went for a annual physical, she suggested it to me. I have been researching surgery for awhile but I have been in school my health has taken a back seat :(. My BMI is 60 but I have no "other health issues". I have migranes, knee pain, back pain, etc. But I guess my BMI does not warrant me to have this surgery. Its not an exclusion . Its covered if its medically necessary I guess. No one has told me the criteria.

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.