How is it that BCBSTX (self funded plan for state employees) can deny coverage

for this surgery when Medicaid (taxpayer funded) will? Please don't take offense to this message if you were lucky enough to get this covered via Medicaid (I'm glad for ya':) )...however, I find it perplexing to understand how I as a taxpayer am responsible for paying for the cost of the surgery via income tax, and I can't even get that same kind of treatment from a state funded health insurance plan due to their written exclusion. Believe it or not, I've written my US congress folks and the President (hey...at this point in the game, anybody is worth 37 cents if they'll listen :)about this, but I still can't help but feel that this will just get pushed to the farthest backburner. How can something be considered "medically necessary" in so many other states in this country be contractually excluded in so many other plans? ??? I'm at a complete loss here. Does anybody know of any house/senate bill addressing this issue? I've tried searching the web, but I haven't been able to find the exact bill numbers...or maybe it's not even an issue for congress...I just don't know and would appreciate ANY help anyone would be kind enough to offer.

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