Approved for TT by insurance without hernia or rashes? How?

I have been denied for breast reduction and abdominoplasty by Aenta. I am trying to figure out how and when to file an appeal, especially for the abdominoplasty. It seems Aetna and others seems to cover even without hernias/rashes or am I wrong? Pannus is also complicated by having had 4 c-sections! Any ideas would help as I am 14 months post-op RNY, -116 from 266 to 150 pounds and feeling great! Thanks1

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