How do you phrase an apeal letter as to not

As some of you may have read I have had a consultation for Lap Band however it is pretty unlikely that my BCBSTX will not cover this surgery.I am working now on an appeal letter because there are reasons that I would prefer to have this procedure over the rest.However if I cannot have Lap Band I will have RNY (which they will approve)so my question is how do I write an appeal letter advocating coverage of the lap band without totally trashing RNY since I may later ask them to pay for that surgery? or will my appeal for lap band have any bearing on future requests? Thanks in advance for your suggestions.

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