Denied for abdominalplasty....

Oh well the verdict is in and my third level appeal has been denied as not medically necessary. I have pictures documenting at least two skin rashes and treatment for both but the insurance company says it is cosmetic. I can request a hearing and am not sure I will do that as I do not want to show my vajayjay to anyone else. I will perhaps save for a future operation that will cost at least $5000. Luckily for me hubby doesn't get turned off from the flab! Thanks for all the support! Hugs, Chris

Chris, Maybe you can put it on a credit card I don't know if you have chase but they have a no interest plan for Medical stuff ? Just a thought tori

Hi Tori, I just have to decide how important it really is.... I am sad about it but it is what it is! Thanks for the suggestion! Hugs, Chris

Hi my friend...I'm sorry you've been denied yet again. I didn't do the appeal thing..I guess I'm just giving up. DH and I talked about doing it and just paying for it. But he really doesn't want me to get it because of what *could* happen during surgery. If the insurance doesn't pay for the surgery they said if I decide to have the surgery anyway and pay out of pocket that's fine. BUT..if I should have complications during the surgery or after the surgery they won't pay for that either. That's the part that has DH saying NO to surgery. So I'm just stuck. Hugs, Anna

Maybe we will be stuck together. I would like to get into one size smaller but maybe this will motivate me to put the candy away and lose that last little bit! I miss you my friend! Hugs, Chris

We are stuck together I would like to lose the 10lbs I've gained since my lowest weight. I need to get serious about exercising again or I'm going to gain it all back. That is my worst nightmare that I had this surgery and I'm going to screw it up because I won't walk away from junk food! Hugs, Anna

Hey Chris: I am so sorry that your appeal was denied. That truly sucks. I am always amazed when people are approved for this surgery...they are REALLY lucky. There is NO way I would be approved and that kind of bites. Give it a couple days and see if you are up for the hearing. If you feel like you can sway them, then go for it! Who cares if you have to show it all to them...you will never see them again! Sending all my love and hugs, Jersey Mom

If I show it they will be frightened! Remember lose lips sink ships! Hugs, Chris

I know how you feel about being denied. I haven't tried and I don't think I am going to. If I decide that that is the way I want to go then I will find a way to pay for it myself. I want to have both the abdominalplasty and the reverse abdominalplasty. I know that Medicare won't pay for both, and am resonably sure they won't pay for either. Like they always say, anything worth having is worth working for. Just hang, no pun intended, in there. Hazel

Hazel I have Medicare through Univera or (vise versa) because of being disabled due to my neck. Funny thing is I was approved for RNY in less than 24 hours....You are right if it is worth having then it is worth working for..... Thanks, Hugs Chris