Question:
Anyone been denied a TT because of a picture, even though it's medically necessary??

My insurance will approve a abdominoplasty if it is medically necessary. The PS sent the letter of necessity, and now the insurance wants to see pictures. My worry: because I don't "hang" that much, I'm afraid that they won't approve it. Do these companies "compare", or expect the stomach to look a certain way? Is it possible that they could deny my request based on a picture? I want this SO bad, and I would like some encouragment from people "in the know" that a picture will not be the thing that gets me denied. Thanks everyone!    — blank first name B. (posted on October 15, 2002)


October 15, 2002
I sent pictures showing much hang over but was still denied because I did not show the underside showing sores and the such. Boo Hiss.
   — MARSHA D.

October 15, 2002
Can you grab extra skin in your hands and pull it out away from your body? A side veiw of this might look pretty impressive :-) Good Luck!!!
   — Tambi B.

October 15, 2002
I was denied a TT even with pictures, so I drafted a letter using Victoria Bowens example in her profile and mailed it off for an appeal. I received my letter of approval today for the TT. I really think a lot of insurances deny this procedure just to see how badly people want it. There must be a lot of people out there who get the denial and then let the matter drop. I wasn't one of them and I got approved with an appeal. Good luck.
   — samizaki

October 15, 2002
I have lost 100lbs since my gastric bypass and am having a TT and Breast Redux/lift tomorrow. During my weight loss everytime I had a rash or redness under my stomach or breast I took pictures. When I went into see the PS I gave him the pics and he took some of me now. I have a small panni, and it hasn't caused a rash in a long time, but it does bother me. I got approval right away. Keep records, and take pictures everytime you get a rash. Good Luck
   — Gail M.




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