3 times denial for BR/BL

alla B.
on 6/4/11 2:55 pm
 I have question about plastic surgery procedure and would like to ask here , I know a few people who is really good with this.
I tried to get approved for breast lift/reduction , i have Oxford and it is covered , but should be medically nessesary.
I got deniel twice from Oxford and denied from external appeal.
What is my next step?How can I appeal external denial?
Please help, I need to get rid of those huge breasts!.
Thank you.
Alla

PART 1 VSG  03/28/2006;  PART 2   DS  01/31/20007

siberiancat
on 6/5/11 3:17 am - COLUMBIA CITY, IN
Have you looked into cash pay with plastic surgeon and surgicenter/hospital.  They usually reduce by about 2/3 cost you would be charged with insurance.

It may be an alternative if this is really important to you.
 Penny
Highest Weight 255  * Wt loss includes 19 lb lost before surgery

    
cleos_mom
on 6/5/11 5:07 am - phila., PA
you probably may just have to save up the cash for it, u have to have a certain amount of breast tissiue to be removed befor they will deem it medically necessary, find a surgeon that takes Care Credit itis o% interes for 12 to18 months
alla B.
on 6/5/11 11:19 pm
Thank you, ladies for your reply.
I have very bad credit, no loan for me and pay cash in New york on Park avenue is not available option easier.
I will try to go to my PCPC for rush or will look for another doctor, better in network.
Thank you again.
Alla
and I have alot tissue to be removed for sure.

PART 1 VSG  03/28/2006;  PART 2   DS  01/31/20007

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