is everyone usually denied the first time for reconstruction?

hi everyone im depressed and heart broken i have lost 165 pds in 10 months i have 3 hernias and other problems from excess skin , i submitted alot of documentation and pictures , letters from my pcp , and primary care doc, that i MEDICALLY needed reconstruction it was all submitted , and the quickly denied! cigna hmo in fl. i just wondered what i was in for ? do you thinki have hope? what has been your experience? please help any info or strories are welcome ty

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