Insurance Denied my Breast Reduction Surgery, How Do I Make a Case for an Appeal?
25yrs old, 5'3" and 165lbs and my cup size is 34G, denied coverage for breast reduction based on the Schnur scale. Surgeon wants to remove 250g from left breast and 300g from right but scale says to make a symptomatic difference I'd need twice that removed! The ins. company also deemed it cosmetic due to ptosis (sagging breasts) and the fact that a lift would be included in the procedure. Doubled sports bras cause discomfort and trouble breathing so I can't exercise and lose weight due to pain.