Question:
I need advice on how to approach my initial appeal, and be most effective?
Having been denied on my initial plastic surgery request, I need to know whether I should still request the full extent of plastic surgery procedures that I want or whether to go ahead and whittle it down to the ones I most want (and likely can get approval for)? Anyone with experience in the appeals process please advise...Thanks! — lisachris (posted on February 3, 2003)
February 3, 2003
Your probably only going to be able to have 1 or 2 procedures done at one
time, so you should pick the REALLY bad areas first and work on getting
them approved. Good pictures which really show how bad your problem is
speaks volumes. Turn sideways and pull your skin out as far as you can -
let's face it, most "normal" people can't do this!! Also, send
in your own personal letter along with a letter of medical necessity from
the doctor and document any problems you have. Finally, pre-approvals are
only good for a certain amount of time, that's why I say to concentrate on
your main problem areas first and then continue on after about 3 months to
your next problem area.
— Patty H.
April 23, 2003
check out tuckthattummy.com for some appeal letters.
— Tamara N.
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