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Still Trying to Find the Right Time and Dr - Ellenville, NY

DominiqueCabrera

Not Sure
Cost: $300
Ellenville, NY

Hello, im 21 years old 5'2, 137 lb and currently...

26 Aug 2012

hello, im 21 years old 5'2, 137 lb and currently wear a 36DDD. i have had bad back neck and shoulder pain since i was 12 years old, i currently have to take 2 pain medicines, a pain patch, a muscle relaxer and an anti-inflammatory just for these issues. i went to a Dr named Hagarty in kingston,ny. he told me i was a great surgery candidate and that my insurance would cover most, if not all of the surgery costs. come to find out that through my insurance company they only cover you if you fit into some specific formula that deems you as low risk or something like that, and at the time i was 155 lbs and my insurance company said my weight made me a high risk patient and that i would have to pay out of pocket and then be reimbursed later on. is that normal????? now i have lost some of the weight i take good care of myself but i work at a job where i have to strain my back 7 days a week, so i need to build up enough vacation time to take two weeks off for the surgery and come back on light duty, now to find a surgeon in upstate New York. any suggestions???

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Comments (2)

sunnylou432 28 Aug 2012

It is unfortunately very common for insurance companies to give a response like that. Very few insurance companies want to pay for this surgery. They often require weight loss, physical therapy, chiropractic care, and/or a record (of several years) of chronic back pain before they'll even consider it. I was very lucky that I did not have to go through these problems. What frustrates me so much is that it's hard to exercise being that big! I too was a DDD pre-op. Keep researching, keep talking to your insurance company and other plastic surgeons. Many may be willing to offer payment plans if you do have to end up paying out of pocket.