Question:
Do I need a letter from my PCP for TT?

Aetna has contacted my surgeon for more information before they approve my abdominoplasty. They want documentation from my PCP concerning the rashes, length of treatment and type of treatment. My question is this: should I ask my PCP to write me a letter along with his office notes? If so, does anyone have a copy of a letter from you PCP to surgeon or insurance company requesting TT? Thanks a bunch -    — Margaret G. (posted on September 23, 2003)

September 23, 2003
Honey, I don't have any experience with this but in my oppinion, I would get my PCP to write a letter along with the notes. I'm sure you'll get an answer from someone more experienced soon. Good Luck!
   — Loretta W.

September 24, 2003
I went to a different dr to have my surgery. My pcp is a normal doc a gp only. But yes, I went to the doc who did the bypass, to write me a letter, and I also had the doc document EVERYTIME I SEEN HIM ALL OF THE PROBLEMS I WAS HAVING... Like the rash under the fold of skin and also the back pain. I also got copies of the doctor records and highlighted all of the notes that where in there about the rashes and back pain and also wrote a letter along w/ my appeal to the insurance company because they declined my first attempt to have a panni. I think what won my appeal was that when you have a rash under the fold of skin, THAT IS WHAT IS CONSIDERED AN OPEN SOAR AND YOU CANT GO INTO ANY PUBLIC POOL OR HOT TUB because of it. I MADE SURE THAT POINT WAS ESTABLISHED. They had the nerve to say that the panni was considered cosmetic and not a nessecity. Good luck, the more personal you go in your letter to the insurance company, the more likely you will be approved...
   — Lisa J.