Question:
Letter of Medical Necessity from Plastic Surgeon

It has been my experience that few plastic surgeons can write a successful letter of medical necessity. I have the typical physical problems associated with massive weight loss and large pannis. I have accumulated a wealth of information regarding medical necessity and related this to my plastic surgeon. I also supplied a copy of a position paper in hopes that he could write a suitable letter to acquire insurance approval. My insurance company has denied coverage based on his letter and my plastic surgeon refuses to submit a letter of appeal. I am in search of a doctor that is versed in writing successful letters of medical necessity. I am in the Kentucky-Tennessee area. Any information or ideas would be appreciated greatly.    — STAR W. (posted on July 11, 2002)

July 11, 2002
Hi. My experience has been that it is easier to get the letter that you need by writing it yourself and having the doctor sign it. There is some wonderful information online at <http://www.lvcm.com/njtomato/reconstructive.htm> on reconstructive surgery following WLS. Sue Barr wrote it and she even includes sample letters and insurance codes for specific procedures. Thank you Sue for a great resource!! Hope this helps! Good Luck!
   — Rebecca T.

July 12, 2002
You don't even need the doctor to sign the letter. Just do the letter yourself and SUBMIT PICTURES!!!! That should do the trick.
   — Patty H.

July 17, 2002

   — lisadiehl

July 17, 2002
Ugh... why can't this site allow paragraph breaks? Write me at [email protected] for a copy of what I posted, below.
   — lisadiehl