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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