Anyone have a medical necessity letter for a hernia and hanging panis?

I have a ventral hernia and my plastic surgeon is recommending repairing the ventral hernia and performing an abdominoplasty at the same time. I know that Aetna Open Access HMO has a clear line of what's approved for the abdominoplasty; panis that hangs to your pubis (mine hangs borderline to the pubis) AND dematitis that has been documented. I have not had the dematitis, but have the hernia and back pain for years that my primary physician has documented. Does anyone have a letter to send along with the request for the sugery I could use? Or any ideas at all? Thank you! My email is [email protected] for any help, information you can send me.

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