Question:
How did you get your breast lift approved by your insurer? Meaning how did you prove

that it was medically necessary? Your input is greatly appreciated. Sample letters are welcomed!! LOL    — Michelle H. (posted on June 30, 2004)

June 29, 2004
back pain
   — traceybubbles

June 29, 2004
I never got it 'insurance approved' I got it company approved - our company has finaly say and over-rode Aetna. BUT from dealing with Aetna they dont go by 'your history' they have a check list - see internet... Just go down the list and do each one (even if your doctor doesnt think its necessary in your case... i.e. aetna wants 'physical therapy' my doctor said it was a waste of time, but we went ahead and did it anyways... which helped eventually when the company saw they were 'wasting money'.
   — star .

June 30, 2004
I had a Mammaplasty (breast reuction/lift) on 11/17/03 when I was 9 months post op from Lap RNY. Aetna approved my surgery due to yeast infections under breast. Day of my RNY I was a 44 DDD and day of ps I was 38D. My PS was shocked to say the least that they would cover a mammaplasty, since you have to have no less than 500 grams removed from each breast and I was mostly skin. very little mass left from my weight loss of 107 pounds. I was very lucky and thankful being approved, but there was no problem once they saw the pictures of the infections. My ps did a wonderful job reducing/lifting and now I have the cutest 36 C's. I had documentation going back for the last 9 years with these rashes and have been on prescribed medications, but insurance only wanted pictures. Best of luck getting approved. (((HUGS)))
   — Hazel S.

June 30, 2004
I had my breast lift approved the first time. My PS wrote "She doesn't want them any bigger or smaller, just back where they belong" PLUS, photos speaks volumes If they are hanging down they still can cause back/neck pain, headaches, rashes. Difficulty doing aerobic exercise as they flap around. Feel free to e-mail me if I can help you
   — ZZ S.