HMO Approval--Medical Group or Insurance Co

I have Blue Cross California Care, an HMO. My PCP will put in the referral letter along with a letter I prepared, but he says my ins will not pay because they regard it as cosmetic. Last time I attempted approval with another HMO (Cigna), it never got past the medical group. Who actually gives the thumbs up for this procedure -- the Med Group or Blue Cross & are there any suggestions as to how I can get beyond the Medical Group--Pathways (formerly Affiliated Private Practice)? I have a BMI of 46 & comorbidities. If anyone works for either of these companies, any suggestions would be appreciated--actually, any suggestions from anyone would be appreciated!! Thank you in advance:)

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