AngiL

Update -My daughter did have surgery. Her second appeal was denied but the company I work at and my benefits department helped me greatly as my company is self insured. I also found out that Highmark covered the surgery for other patients with a BMI less than 50. Don't give up, I know how much it sucks and how heart breaking it is but it is worth it in the long run. My daughter is 8 weeks post op and has lost 45 pounds so far. It is like she is a new person already, much happier. I am so glad we did not switch procedures and go to the Lap Band. I don't know that she would have the best results with that. We probably would have gone with a Roux en Y if she would not have gotten approved for the sleeve. Good luck everyone

I will look to see how you made out. My daughter is also waiting an appeal. She has a BMI of 44 and one CoMorbidity and Highmark denied the precertification. We are awaiting an expedited appeal for her and should hear within the next three days. Her surgeon did not seem too hopeful that it will be overturned but we are seriously praying. We will pray that yours is reversed as well. I have not found anyone that Highmark has actually approved, seems that they are behind the times with procedures. Take care