Tummy-tuck and Medical Assistance

I am so frustrated! I'm trying to appeal my case for tummy-tuck surgery and I thought that this time around I had covered all of my bases. Apparently I was mistaken. I sent in letters of recommendation from my regular physician stating that the surgery would help remedy the recurrent bacterial/vaginal infections and rashes I keep getting from the excess skin and a letter from my Psychiatrist stating it would help with my overall health, including my mental health (I have Bi-Polar with strong depressive tendencies that started to get better with the drastic weight loss, but then once I plateaued and found that exercise wasn't working enough anymore, I started to get more and more depressed---feeling fat again). I guess insurance companies don't care at all about the psychological issues, they just want proof of actual physical issues that keep me from living a normal daily life because of the extra tissue. Sorry for rambling. So, now I have to request actual chart notes from my doctor referring to the infections and write a personal letter as to how having the extra skin affects me physically in my daily living. I already sent in a personal letter talking about the infections and the psychological issues. Can anyone offer me some advice or reassurance? Prayers are cetainly welcome too Thanks so much! Andrea Harrington RNY Bypass 12/00