Question:
How did you get your breast lift approved by your insurer? Meaning how did you prove
that it was medically necessary? Your input is greatly appreciated. Sample letters are welcomed!! LOL — Michelle H. (posted on June 30, 2004)
June 29, 2004
back pain
— traceybubbles
June 29, 2004
I never got it 'insurance approved' I got it company approved - our company
has finaly say and over-rode Aetna. BUT from dealing with Aetna they dont
go by 'your history' they have a check list - see internet... Just go down
the list and do each one (even if your doctor doesnt think its necessary in
your case... i.e. aetna wants 'physical therapy' my doctor said it was a
waste of time, but we went ahead and did it anyways... which helped
eventually when the company saw they were 'wasting money'.
— star .
June 30, 2004
I had a Mammaplasty (breast reuction/lift) on 11/17/03 when I was 9 months
post op from Lap RNY. Aetna approved my surgery due to yeast infections
under breast. Day of my RNY I was a 44 DDD and day of ps I was 38D. My PS
was shocked to say the least that they would cover a mammaplasty, since you
have to have no less than 500 grams removed from each breast and I was
mostly skin. very little mass left from my weight loss of 107 pounds. I was
very lucky and thankful being approved, but there was no problem once they
saw the pictures of the infections. My ps did a wonderful job
reducing/lifting and now I have the cutest 36 C's. I had documentation
going back for the last 9 years with these rashes and have been on
prescribed medications, but insurance only wanted pictures.
Best of luck getting approved.
(((HUGS)))
— Hazel S.
June 30, 2004
I had my breast lift approved the first time. My PS wrote "She doesn't
want them any bigger or smaller, just back where they belong" PLUS,
photos speaks volumes If they are hanging down they still can cause
back/neck pain, headaches, rashes. Difficulty doing aerobic exercise as
they flap around. Feel free to e-mail me if I can help you
— ZZ S.
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