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what i feared the most has happened:(

well today I have been told by my insurance co Anthem BCBS that I have been denied b/c sleeve is 'not medically necessary' which is confusing to me b/c I am 100 pounds overweight, BMI 41 and being treated for high blood pressure. When I spoke to BCBS, they told me that my provider should contact them for more information on the 'not medically necessary', that right now there was nothing more that I can/should submit. Ok but I know I've read on here how ppl submit letters of appeal!! I'm so confused, SOO depressed~ I have tried to have positive thoughts all this time just to be let down. Please give me any help you may have, including letters of appeal! I will fight for one more denial/approval but then I will bow out, I wont put myself thru this emotional roller coaster:scared0:. Thank you in advance-

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i was gonna send you a copy of my appeal letter, i have anthem blue cross and was denied because they say it is experimental, i am so JEALOUS, i wish you all the best and hope for the same for myself, take care

Hi, I am wondering if you sent an appeal out on the Sleeve? I know that my Anthem Blue Cross of Ohio will not cover the Sleeve because "experimental"? I want the Sleeve, they will pay for the other procedures band and by-pass, but not the sleeve. I really wish they would pay for the sleeve. Just wonder if the appeal would do any good.

if you send me your email address i would be happy to send it, i didn't win my appeal with anthem blue cross, in CA we have a state office that we can appeal to and they have three independent doctors review the case and this is how most of us won in CA if the independent medical review votes in your favor the insurance has to pay for it, not sure each state is the same, but pretty soon they will all be covering it,

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