Donna_in_Texas

I got my approval in 24 hours. I am on BCBS Fed plan in Texas. Remember that most surgeries have to be pre-approved before hand. You mentioned that they "denied the claim". Do you mean that you had the surgery and then sent in the claim? If so, that may be the reason for denial. My surgeon sent in the pre-approval request to BCBS. He is a preferred provider with BCBS (I am on the basic option so I must use preferred providers in order to be covered for anything.) They approved 2 day hospital stay and the VSG procedure. No hoops the jump through, nothing. I was very amazed. Good luck to you. Remember....as a fed employee you have 2 level of appeal rights. One with BCBS directly and then with OPM. I recommend sending them an official appeal letter. Hope this helps, Donna in Texas