Justlucky

I am going to attempt to talk alot in this field due to it's my passion. I have worked in the Plastic/Cosmetic/Reconstructive field for 11 years. It's what I know.

As for a reduction, if you want to push your insurance company, it helps for the patient to become involved. Let's put it this way, you are paying in premimums every year these people's salaries right? So... they are going to listen to you first, not the physicians office. If you received the denial due to not enough breast tissue being removed (grams) fight it. If you and your primary care physician feel that a reduction is going to help you live life better and more comfortable than there is a reason to fight. Things to write an appeal are the following: A) Office notes from at least 2 other doctors for past conservative treatment that hasn't helped (Chiropractor, piedatrician, primary care physician, obgyn physician, etc). Letters from these doctors and your office notes are BIG! Write a letter to your insurance appeal department stating your daily life, how it effects you negatively. Depression, etc. Get it all together and appeal to your insurance company yourself. It works.

Insurance's do have height/weight/age guidelines for Reductions and yes they have a certain many grams that need to be removed per the factors above but that doesn't mean you can not overturn the decision with a little help.

If you decide not to. There are some healthcare financing companies you can log onto yourself and apply without your physician involved. In other words get the approval before you scream out you are having surgery to others. ****** the topic.

Just remember when you are applying, you will need the total cost of the loan, the check will be cut to your doctors office AND most importantly, some physicians only participate in certain payment options on the plan.

Hope this helps. Good luck.