Anyone have BC/BS PPO Pay for Abdominoplasty for 2005?

4 yr post-op RNY, still trying to get BCBS to pay for abdominoplasty, they've said I don't meet their medical criteria for the surgery, does anyone know what their medical criteria is? When I lay on my side it looks like I have a watermellon pulling away from my waist and hips, when I bend over it looks like an utter without teets, my puffy panni flows onto my upper thigh about 4". I asked my doc why this is as I thought I had no muscle holding in my abdominal organs. He said some post-op's have loose hanging skin and others like myself have about 1" of fat underneath the skin that won't go away with exercise or diet, he said the only way to get rid of it is to have an abdominoplasty where they could remove that layer of fat. I'm working on letters of med ned from my RNY surgeon, a neurosurgeon who has performed 2 recent back surgeries, an anesthesiologist who is treating lumbar disc compression by pain mgnt, a psychologist as I feel physically un-attractive, a nutrictionist, my primary doc who prescribes cream for my panni rash during hot weather days and pictures. Need all the help I can get, anyone have med ned letters willing to share for 2005? Any web sites out there which offer assistance re: how to get approved? Again my big question? is it more difficult to get TT approval from BCBS for 2005 than the previous years? Any info greatly appreciated. Thank you for your support.

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