Start here
Where are you in your journey?
Choose the path that fits today. We’ll take you to the most useful discussions.
- GLP-1 medication Zepbound, Wegovy, access, side effects, progress, and support.
- Before surgery Compare procedures, plan ahead, and get honest pre-op answers.
- Post-op Recovery, food stages, symptoms, and support.
- Long-term Regain, labs, habits, and life after the honeymoon.
- Revision Explore revision options, complications, and next steps.
BCBS Fed Employees Program Denied Band Removal as "Not Medically Necessary"
- Replies 1
- Views 1.7k
- Created
- Last Reply
Featured Replies
Archived
This topic is now archived and is closed to further replies.
Feeling very discouraged today. I called to follow up on the preauthorization for my band removal, and after placing me on hold, the rep came back to tell me they'd decided today to DENY, on the basis that it's "not medically necessary." This, after the surgeon has said it needs to come out as soon as possible.
Apparently a badly dilated pouch, with nausea and vomiting, isn't what they consider "necessary" to deal with.
:( 
Has anyone had success appealing for band removal, with no revision surgery? Especially with BCBS Federal Employee Program?