Denied

Mar 23, 2017

Hello I'm a newbie however I've been reading the blog for a few months now and it's been very helpful. I palnned to sign up once I had my VSG surgery date but I'm so disappointed yesterday I recieved a letter from BCBSTX stating that my appeal was denied. 

The predetermination was denied by BCBSTX on 3/10 stating that with my current BMI I also was required to have at least one from a list of criteria for consideration. Hypertension was the 1st on the list and I have been dignosed with hypertension and my predetermination package sent to BCBS by my doctor stated the same and named the medication I'm taking. 

Now I'm being told the appeal is denied because my clinically significant obesity-related disease (hypertension) is being controlled by best practice medical management.

Has anyone ever heard of this?

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Mar 23, 2017
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