Question:
Need Help with the letter for Plastic Surgery

Hi there...I am in the process of meeting with a plastic surgeon. I would love, please, please, please, someones help in writing a letter that she could sign (or something close to it) that shows "reconstructive" needs as opposed to "cosmetic"...so that Aetna will possibly cover my PS. I have letters from my PCP, OB/GYn and Surgeon (Rny) but I know the PS will not write as good of a letter as I really need. HELP...please. My appt is coming up and I really want to have something to bring with me. Please email me at [email protected]. G-D Bless and thanks so much.    — Audra C. (posted on December 9, 2002)

December 9, 2002
Go to the plastic surgery forum and go to the Q&A link and do a search on 'appeal'. That's what I did and I got all kinds of info. In my case, I did not get the TT covered, because the insurance didn't think it was bad enough. And I just can't take it to that level. It has to be a rash, it's gotta be all stinky and infected, and it has to have hung around awhile...that's kinda what I got from it. I have Cigna HMO, by the way. GOOD LUCK!!!! Feel free to email me if you have any questions.
   — Carolynn J.

December 9, 2002
My primary and secondary insurance providers approved by panniculectomy and brachioplasty last year. The primary provider did deny the surgery initially, requiring that I go through their appeals process. They approved the surgeries within one week of receiving my appeal packet. I will be happy to send you copies of my appeals material. Please contact me at [email protected].
   — Diana T.