Question:
I HAVE BEEN DENIED FOR BREAST REDUCTION,TUMMY TUCK,AND ARMLIFT I HAVE CIGNA AND THEY

ARE REALLY HARD TO DEAL WITH AND I WAS WONDERING IF ANY ONE CAN HELP ME SOME IDEAS ON AN APPEAL LETTER    — TASHA J. (posted on September 23, 2004)

September 23, 2004
I can email You a letter that was used by a girl that got all that covered.
   — Shell G

September 24, 2004
I would also like a copy of this letter.
   — Dedicated

September 24, 2004
You have to make sure your doctors (primary and surgeon) have been documenting that you are having problems with the extra skin. Skin removal for most insurances consider this cosmetic surgery. I'm going to have butt and thigh lift. I have to pay out of pocket expenses of 4000.000 plus I want my arms done so that is an extra 2,500.00. Total expense $6500. My insurance is paying the rest. The problem is before we have this by-pass doctors should tell everyone that skin removal does not go hand in hand. Some of us will have to live with the extra skin and that can be hard. One of the negitive effects of this surgery. I wish you the best of luck.
   — Linda R.

September 24, 2004
Hi. It is really up to you and your PS to get together a good case for an appeal. This means getting together documentation (i.e. visits to other docs) about your skin rashes and related problems. Sometimes they want 6 months of these problems before considering PS. read the denial carefully and try and determine the reason, also.
   — DrL