I have Fed BCBS Basic in Indiana, and recently was denied coverage for a vertical sleeve gastrectomy. They claim "At this time there is insufficient convincing evidence in the peer-reviewed medical literature, in terms of safety, to support the use of sleeve gastrectomy in individuals with clinically severe obesity". I personally know two people that have had this procedure, and were covered by BCBS FEP. I am sending them an appeal letter to them to start with. Does anyone have any suggestions?
Thanks,
Pam
