BCBS Denial

NC BCBS denied my revision help!!!! I have met deductible twice. Fiscal year starts July. How do I appeal? They say it is not medically necessary?

Where you having any problems. And was it BCBS Federal?

They're saying it's not medically necessary. Why are you and your doctor saying that it IS medically necessary? If you can tell us that, maybe we can make some suggestions.

My connection has stretched, my food runs straight through, I do not feel the fullness. This began up to a year after my surgery. I went to Curves everyday they were opened, but found I was gaining weight, continued with my new way of eating small portions, low fat, less white foods, breads, and chewing every bite into the smallest pieces. I did not eat much beef because I found it was harder to digest. The weight on my knees, is unbearable. I have high blood pressure, am borderline type 2 diabetes.

I am so sorry to say tht unless some of those problems can be seen on an ex ray or an EGD or some other test recognized by the insurance co,they are going to say it is not medically. Necessary and. Deny you. 

Have your surgeon done any of these tests and submitted the results to your insurance?

It would have taken a scoop to see the stretched stoma wouldn't it?