Insurance Denial HELP

[MRSVB12 0]

My starting lbs was 250 now I'm down to 160 lbs I did it myself it took me 2 years. Congrats to all of you with your weight loss success!

My question is since I have lost the weight I need a Tummy Tuck went to a Plastic Surgeon that my Insurance Company referred me to. He did a consultation, took photos he sent his info in and I got a BIG DENIAL! He sent in a 2nd report also Denied. So know I need to write a letter to Ins. Co Does anyone have some advice?:eek:

[Rsilversea 2]

I know my insurance won't cover cosmetic surgery unless it's medically necessary.

[kkarryall 0]

Did your primary care write a letter? I haven't had mine yet but I have been approved. My primary care, and gyn both wrote letters. The letters have to focus on FUNCTIONAL reasons why you need the surgery. For example, one of my letters stated that I had a rash (which I went to the Dr. for)--and have pics of--Dr. prescribed two different meds which didn't work. Letter stated that I have to go to the bathroom often to clean the affected area--gross I know--but that is the kind of stuff they are looking for. It was also recommended that I see a chiropractor for lower back pain caused by the hanging skiin...she also wrote a letter. Good luck to you....