Question:
Initial insurance letter for approval of a tummy tuck

I just went a saw a plastic surgeon I really like for a tummy tuck. The only problem is that he will not to thru insurance, because he says most of the time tummy tucks are not covered. He said it would be up to me to submit info to the insurance company for predetermination. My question is does anyone have info that I could have to what I need to include to send to the insurance company. For example a sample letter, etc. Any info would be greatly appreciated. Thanks in advance.    — Stephen H. (posted on October 20, 2003)

October 19, 2003
Stephen, Just my personal opinon: I would see another plastic surgeon. If he wont submit it for you it makes me wonder if he has any experience with gastric bypass paitents. We have a lot more skin to remove than you average Tummy Tuck. YOU deserve to have this covered. go with another Dr all it takes is a letter and some pictures he should at least do that for you. GOOD LUCK. Nicole
   — nicole79

October 20, 2003
A pre-determination letter should be the Plastic Surgeons suggest course of treatment and include the really gross pictures. This is standard. You are not asking him to fight for you, you are asking him to use his expertise to submit the basics for course of treatment. I have had to fight my own battle with my insurance company but my PS did the pre-determination letter and pictures. Talk to him again and tell him you will fight your insurance, you just need him to get the ball rolling.
   — bbjnay