Hi all I my name is Lisa from Louisiana I am 34 years old and currently 297 pounds. This is a great site looks like a lot of great people are on here who are willing to help others that is awesome! I am in need of some help. I am wanting to get the vertical sleeve and I have BCBC of Louisiana with the state and it is not covered. I have not been to the doctor because I know that the insurance will not cover me. What steps do I need to take to see if I can get an approval? I have heard of appeal letters, but I have not sent in a claim since I have not been to the Doctor. What steps do I need to take? All your help is greatly appreciated!:tongue_smilie: