Has anyone had any experience with Premera Blue Cross Washington? There is a written exclusion for any bariatric procedure, but when I called they told me that it would have to be reviewed for medical necessity. Can you see my confusion? I have been reading diligently about other experiences with insurance. It was my understanding that once you have a written exclusion there is no hope, but on a few experiences, I have seen that people still get approved even with exclusions. I need to clarification and any advice of how to proceed?