How should I get documentation for showing an abdominoplasty is medically necessary?
I checked Aetna's website regarding coverage of abdominoplasty after weight loss. It says they will cover it if "Panniculus hangs to or below the level of the pubis; and The panniculus causes chronic intertrigo (dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing) that consistently recurs or remains refractory to appropriate medical therapy over a period of 3 months" (taken straight from there website) Also under cosmetic surgery it says they will cover it if "Abdominal lipectomy: When abdominal folds cause symptoms such as chronic pain, dermatitis, or ulceration." Well, I have had lower back pain for a long time, although I am not sure if it is caused by my stomach. I have also never seen my doctor for this because I just figured it was something I had to live with. Any suggestions on what I should do? Should I see my PCP so I can get some documentation started, and, if so, what should I tell him? Thanks for your help
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