Denied!!! - ThinnerTimes

Julez · 07-05-2006, 03:42 PM

Im so bummed.Im almost two years out now & really want a tummy tuck.My insurance just denied it.I have to have a 6mo documented treatment for my "issues" due to the lose skin......

6mo dang....I wanna get it sooner then that and I cannot afford the $6000 they quoted me...
Anyone get denied & tried to fight it???

sUzYzPLaCe · 07-05-2006, 04:24 PM

I've been going to the doctor since 6mos post op from surgery and had them documenting "rashes" Good luck with your denial... keep on it though. Suzy

coptergirl · 07-05-2006, 04:28 PM

I wish you the best of luck

Stuart · 07-06-2006, 10:20 PM

I have spent the last year and a half documenting rashes and back pain due to my excess skin. I was denied a Plastics referral twice but on the third attempt I was successful. To make a long story short, I am having an abdoninoplasty tomorrow (7/7/06) at 7:30am. My insurance is covering everything with no out-of-pocket expences. Keep trying, documenting, taking pictures, ect....eventually they will get tired of hearing from you and will cover it.

Blueyz · 07-06-2006, 10:35 PM

Quote:

Originally Posted by Stuart

I have spent the last year and a half documenting rashes and back pain due to my excess skin. I was denied a Plastics referral twice but on the third attempt I was successful. To make a long story short, I am having an abdoninoplasty tomorrow (7/7/06) at 7:30am. My insurance is covering everything with no out-of-pocket expences. Keep trying, documenting, taking pictures, ect....eventually they will get tired of hearing from you and will cover it.

Stuart....I am so happy for you!!! Finally. Good luck tomorrow. I have hernia surgery on 7/19. I will pray for you and be thinking of you. I hope that Christina will post on how you are doing.

Love you both,
Dale

Julez · 07-07-2006, 08:29 AM

congrad & good luck with your surgery Stuart..
I guess I have to start pushing it with the ins company...

coptergirl · 07-07-2006, 08:32 AM

Stuart - I just though of something - this extra 6 months of documenting rashes will only solidify your weight with maintnence.

Bypassingme619 · 07-07-2006, 10:02 AM

Julia you already know that insurance companies will deny you at the drop of a hat for the smallest reason. I say get 6 months of documentation and give it another go. You have to look at it like those 6 months will come and go, why not just do the 6 months worth of documentation. Even if you have to start your own journal of discomforts with the extra skin. I hope something comes through for you Julia.

wlcasper · 07-18-2006, 12:17 PM

Now you know the rules that your insurance company wants to play by. Document everything and try again in 6 months. Use Stuart as an example it took him three trys, don't get discouraged play by the rules and you will be succesful.

Jeanie · 07-18-2006, 05:35 PM

Quote:

Originally Posted by Julez

congrad & good luck with your surgery Stuart..
I guess I have to start pushing it with the ins company...

If you have Cigna Health care GOOD luck. You have to meet so many things. I will be paying for mine by myself! Hey if you're not in debt then what are you in...lol I have my appt to go Oct 20th!