Anyone get denied by Ins for TT and then re-submit (fight it) and get them to pay?

M C.
on 10/9/13 5:21 am

I've got rashes but they are minimal.  The doc took great pics & documented my rashes but the ins denied it.

I'd like to see if I can fight it but want to find out if that happens very often.

 

Thanks for any info!

Mary K

alla B.
on 10/9/13 5:46 am

Yes, i did back in 2010. I was denied by United Healthcare, then I appeal and they approved me.

I saw chiropractor for 5 month for back pain , I did not document any rushes. I lost more then 100 lb with DS surgery.

Good luck!

Alla

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

Iam_with_the_Band
on 10/10/13 6:10 pm

I think it really depends on why it was denied.  Is your panni not bad enough?  would they have approved a Panni removal vs a Tummy tuck?  Did it not hang low enough or were the rashes not bad enough.  Find out why and then see if you can work with that.  I was denied because my insurance has a full exclusion of all plastics post massive weight loss.  No way to fight that.

12/09 and 6/11, 9 skin removal procedures with Dr. Sauceda in Monterrey Mexico
Revised to the Sleeve after losing 271 lbs with the LapBand. 

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