My breast lift/reduction was first denied. This is what I did that really helped. I got a list of all of the criteria from my insurance company to see if there was some way I could get it covered. Once I had that information I sat down with my pcp and figured out the steps I had to take to get it covered. The biggest thing was DOCUMENTATION with my pcp...for the tummy tuck and the breast reduction. Basicly I called him MONTHLY to let him know about any continued rashes, back aches or anything else that would help me get the surgeries covered. It took several months but thankfully I was able to get both covered.
Don't give up. Keep digging and then fight it!
__________________
Beth
Little Victories; Grand Rapids, MI
Bariatric Support Group
CherishedTeddyBear-(TT Bear Lover)
The Poetry of Milady
New Beginnings: My Journey to LIFE
359(BMI: 58.8)/ 148(BMI: 24.3)
Highest/Current
Diabetes, high blood pressure, sleep apnea, high cholesterol,
peripheral vein disease, joint pain and 211 lbs GONE!! 
Century Club: July 3, 2006
ONE-derland: Dec. 22, 2006
Double Century: May 29, 2007
Goal: June 15, 2008
Lap RNY: 1/30/06-Dr Randal Baker
TT/BL: 09/21/07-Dr Ronald Ford
PS Revisions: 04/29/08-Dr Ronald Ford
Gallbadder removal: 06/09/08-Dr Randal Baker
"...if we pay attention to the fact that we can move,
breathe, feel, laugh, cry and notice sunsets,
there is cause for joy."
-Geneen Roth
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