After spending ALL day on the phone with the offices of the PSs that Dr Rita works with, and then the offices of all the PSs that my insurance covers, NOT A SINGLE ONE OF THEM will submit an insurance claim for a panni removal
even if I get the procedure pre-approved based on info from my PCP and Dr Rita! Even the one surgeon who could/would do the hernia repair himself along with the panni removal would only submit a claim for the hernia repair!
Clearly this has NOTHING to do with cosmetic versus medical necessity.... it is a matter of the PSs not wanting to accept what the insurance company will pay for the procedure! (Otherwise, they would be willing to do it if I had it pre-approved.) I don't understand how a surgeon can sign a contract with a PPO (in whihc they agree ot the PPO's rate structure) and then REFUSE to provide a service covered and approved by the insurance company!
I am SO upset. The cost estimates (from the 3 that were willing to even goive me one without me coming in and paying a $75-$100 consultation fee first!) ranged from $6000 to $8500 (PLUS whatever hospital fees are not covered already by the hernia repair (and no one would even estimate that for me). It looks like I have no choice but to just have the hernia repair done.... but then what do I do with this THING that hangs down where woman aren't supposed to have anything hanging?!?!?!?
I have all these blouses and tops in my closet that now fit, but I can't wear them because only a tunic-length shirt will cover my panni, and it makes it really difficult (not to mention mortifying) to exercise with this disgusting thing that used to be my belly flopping around.
So much for the compassion of the medical community.
Lora