Question:
Hello I saw a plastic surgeon, what can I do for a denial?
Hi, I saw a plastic surgeon a few mos ago, and today I was told that my insurance United healthcare denied my request for the Mammaplasty surgery. I am 10 mos. post-op and have lost -142lbs. I am having a huge problem with back pain from my breasts and Apron. What do I do now? — lynbaby B. (posted on January 22, 2002)
January 22, 2002
Appeal, appeal, appeal! Ask your plastic surgeon to write a letter of
appeal & ask him specifically to include the problems you are having,
then ask your WLS surgeon to write a letter documenting the course of your
treatment thru him and your weight loss & the problems you are now
having, then write a letter yourself & be very explicit about all your
problems. You might even consider having additional pictures taken &
including them, as well. I did all of this & was approved for a
panniculectomy after two denials. My PS says it's pretty common for them to
deny claims at least once or twice. Be careful, there's only a limited time
thru which you can appeal. Don't put this off & be too late.
— Kathy W.
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