Question:
How do you get your ins co to pay for DS instead of RnY?

I know others have had this issue but it is not coming up when I click on insurers. BC/BS will pay for a RNY but denied my DR'srequest for a DS. He won't do the RNY on me because he found precancerous polyps when he did the pre op endoscopy. This will need to continue to be monitored which you can not do if the stomach is sealed off. The insurance co does not seem to understand the information sent to them by my Doc's office explaining this. I plan to write a letter of appeal myself but wonder if anyone else has had a similar situation,if so do you have any advice? I don't think I have to appeal my need for WLS but for the more radical and expensive procedure. It seems to me they would readily approve this as it will be more costly to wait and see if the polyps turn cancerous and then I will need more treatment in addition to the on going expense of treating my co morbidities. Any input will be appreciated. I am really bummed,I can't beleive that my surgery has been cancelled twice, although I do have a date pending a positive outcome from my appeal. Thanks,Kathy    — kathleen S. (posted on May 29, 2001)

Sorry, no answers yet. Perhaps you have one to contribute.