So I got denied for the vertical sleeve from BCBS of Tenn because it's investigation. If I want to resubmit my claim for lap band or the roux en y there would still be problems since in 2007 I had lost 10% of my body weight, etc etc... I am so piss... I Will be going to Mexico.

I went through numerous denials, and finally won, if they are denying you based on Experimental/ investigational you can definitely beat that with no problems. I Have BCBS in NY and appealed the investigational / experimental denial and won easily, call your surgeon, and primary, all three of you need to write strongly worded letters to BCBS and submit them. You should call BCBS and ask to talk to a customer service supervisor, and explain that you want the appeal handled as a expedited appeal, this way the only have one week to answer your appeal. There are people on here that have copies of their appeals letters, and links to websites with appeals letters that have worked well.

Good luck and dont give up.

Appeal, Appeal, Appeal......you deserve this. Go get it.

Don't give up! Have your surgeon's office write a letter, your PCP write you, and you appeal immediately by phone, etc. Good luck!

So I got denied for the vertical sleeve from BCBS of Tenn because it's investigation. If I want to resubmit my claim for lap band or the roux en y there would still be problems since in 2007 I had lost 10% of my body weight, etc etc... I am so piss... I Will be going to Mexico.

Mine was denied at first for the same reason and my surgeon talked to them directly and got it approved.

I'm sorry!

APPEAL!