Thanks so much for this info. I have only just begun my WLS journey. I too have Highmark BCBS and while reading my policy saw that VSG was only covered with a BMI over 50. One hour of internet research later and I stumbled across this site and your appeal letter! Thanks so much I was very discouraged but now I am hopeful. I had my first consult with the surgeon two weeks ago and my first (6 months preop visit with doctor) 9/21/2012. I am hopeful again and now have a template to follow once I get the denial six months from now. Thanks so much!