3rd appeal

My Dr office just sent in my 3rd appeal for a breast lift. We also added this time a breast reduction. Been documenting for a very long time rashes etc. Went to two different surgeons and both cannot believe they denied me twice already. I have BCBS for insurance. They did approve on the 2ND appeal for my extended panni and hernia repair and I had that done in Feb.

Please keep your fingers cross and a prayer would help also.

Thanks Julie

Hey Julie,
Keep at them.  I never would have thought that my insurance (also BCBS) would pay for the mons lift/reduction and tummy tuck revision that I had on Tuesday, but they did after my doctor did and peer to peer review.  Basically she said, "Did you see the pictures?!!!" They must have looked again (or for the first time) and  sais to themselves, "Is this human?"  LOL!!!!!  They approved it-no issues or conditions.

Julie, did you have a hard time getting BCBS to pay for the panni? I have this insurance.
Thanks, Crissie

Crissie,

It took me two times to get the panni approved. BCBS are tough to get approval for PS but if you stay after them they will approved them. Do you get rashes etc? Pictures of that helps. I think it also helped that I had a hernia also

Best of luck

Julie

Yes, it is red, but not really a rash. I have an appointment with my doctor after I return from vacation. They said they will take pictures.. Thanks, Crissie