I am so, so, so disappointed. I started this process last December. I had to go through the Psych Eval, the three - nearly four months, of seeing the dietician, support meetings, etc. Finally the letter came back from the insurance company that my surgery for RNY has been denied. I am 4' "11' and 185 pounds or so. My BMI over 35 and I have to have at least two co-morbidities. You name it, I have it. My body hates to be fat. I have high blood pressure, sleep apnea, osteoarthritis, diabetic neuropathy in my feet, fatty liver disease, repeated issues with UTI's because of my blood sugar, I am diabetic and I know my endocrinologist is going to make me go on insulin this week - it totally sucks.

They denied me because my two years of weight history shows my BMI as under 35. I was on two different prescription weight loss pills that my Endocrinologist prescribed - of course my weight was down. However, I did not like how either of those pills made me feel. One made me feel too jittery, heart racing and unable to concentrate while the other one worked for awhile - it stopped working and made me way too lethargic.

My GI doctor was the one who told me over 2.5 years ago, when my BMI wasn't quite 35, that if I did not take the weight off that in ten years I would be looking at cirrhosis of the liver, non-alcoholic fatty liver disease. That is when my endo put me on the weight loss pills. AS usual, I gain it back. So while I am 2.5 years into my fatty liver and I am closer to the 10 year mark and my insurance company denies me.

Anyway, any tips on appealing Federal Blue Cross Blue Shield?

Hmmmm... it may not be the happy answer, bit maybe you will to spend more time on "medically supervised" diet. Then maybe you're history would show a more problematic BMI.