When I had my first surgery two years ago, they approved right away. Now here it is me having a hiatal hernia you would think they would approve. They stayed due to being out of compliance with the program I caused this. Umm no! The moment I had my sleeve I had heartburn and never went away. But I did wind up pregnant 9 months after surgery due to my birth control failed. My surgeons office have submitted multiple appeals and nothing! I don't know what they want from me.

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How long have your appeals taken before you received word?

I don't know. My center just told me that they have been appealing it. So next step is peer to peer

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So my peer to peer was denied as well. It was today and my surgeons office called right away. Don't know what else to do. I'm supposed to go speak with them of what can be done next. But this pain I'm in sucks!

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You need to appeal to state insurance dept

My job said that I can't due to the way our insurance is set up @@Steven1954 and I'm out of appeals and in so much pain.

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Try Lindstrom Obesity advocates

They don't pay for revisions at BCBS. They consider them "experimental". Doesn't matter, if you've already had a surgery then they won't do it.

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