My request was Denied

Really upset at this point!

So know what!?? What should i do now??  Is it worth filing an appeal?? 

to me it is always worth it to file an appeal and keep on appealing it until you can't anymore. goo luck!

Keep fighting.  Did they send you a letter explaining why?  Sometimes the denial is because of some stupid, little, protocol that was missed by your surgeon's office.  I was denied multiple times.  I just kept getting my ducks in a row and filed appeal after appeal.  I was told by my surgeon that insurance companies will often deny the first request.  I sometimes think they deny surgeries figuring most people will just give up after the denial.  Think of how many people just walk away and give up.  Insurance companies save lots of money by sending out denials on the first try.  Don't give up.  Do the research into why you were denied and try to rectify the problem.  

Thanks for the reply and for the push.. I will be filing for an appeal.

I agree with Rocky.  I've definitely heard that before.  It even happens with things like MRIs and such.  Keep fighting!

There response was my request was "Administratively" denied based on terms of my HMO contract. 

Tomorrow i will be calling my Doctor's office and look into submit an appeal. This is an outrage i work my buns off pay almost 300. a month for medical insurance and for what!

Are you sure your policy covers WLS?

Now i called my insurance and they tell me they do not cover this surgery. Grrr Frustrating!!

That is what worry me when you say per your HMO Contract. That makes me think that your policy does not cover WLS. My insurance I had through my employer has that. My employer had a rider put on our policy that it would not cover WLS. Well I went over to my husbands policy and it is so wonderful. I had to go thru 6 months of supervised diet plan then when they submitted request for surgery it was approved within 2 days.

Im self employed so i had to get the obama insurance Independence Keystone HMO and now i find out they do not cover the surgery. I have to find out if i can change my plan to another provider. I pay out of pocket monthly for my insurance. This is such a hassle for something you pay you really have to put up with all this.