Question:
Hey guys, I just got denied by Anthem BC/BS for Reconstructive

Surgery. TT/Arm Lift/Thigh Lift... Can someone provide me with a sample letter that is sent after denial.. My email address is not the same as the one posted in my profile. The correct address is [email protected] I would appreciate all of your help.. Thanks so much.. Kristina    — Kristina P. (posted on August 19, 2002)

August 19, 2002
I'm not surprised you were denied for the thigh lift or arm lift. Unless you have lots of skin infections, there really isn't a medical reason for the insurance company to pay for it. As far as the tummy tuck, you should be able to get that paid for. Maybe your doctor sent in for a little too much work in his pre-athorization letter. I would have them re-do the letter and just ask for approval for one procedure at a time and give numerous reasons why this needs to be performed (I would go for the tummy tuck first since this should be approved). Be sure to have him include pictures and you should submit a letter telling of any problems you've encountered living with this large stomach and excess skin. It will only help your cause. As far as the other surgeries, unless you've got documented skin infections (and plenty of them), count on paying for this surgery yourself.
   — Patty H.