7/20 Surgery CANCELLED
I called BCBS yesterday. They now claim they had heard back from the surgeon's office and that the file was complete for review my surgery was deemed not medically neccessary. Once the surgeon's office gets the official letter they will call in for a peer-to-peer review. When I get back to Miami I will start to draft my letters. I have seen enough doctors in the past 2 years who have told me to lose weight and I am going to have ALL of them write letters, if they won't I will write the letter and just ask them to sign it! Hell even the radiologist *****viewed my breast ultrasound mentioned that fact I should lose weight to lower my risk since I have a strong family history and there I was at 27 having a suspecious spot looked at. So I spent most of yesterday trying to figure out if the 20th was still going to be possible and the surgeons office sent me an e-mail saying...no, surgery is being cancelled. At least now I can be off my liquid diet...and I still have a few days of vacation left!!!
Sarah Margaret
Sarah Margaret,
I'm sorry to hear you were denied. It sounds like you're getting your "battle plan" together and that is a good thing. Ask every doc that has ever told you to lose weight AND the docs & radiologists that reviewed your films showing why you need a revision. Their letters may carry more weight with the review board since you're not requesting a new surgery, but a revision.
Good luck & let me know if I can do anything for you.
Vickie J.
PS - enjoy the rest of your vacation!