POSTED UNDER Breast Reduction REVIEWS
Breast Reduction finally happening! 9/27/11- Savannah, GA
ORIGINAL POST
Hi. i just recently went in for a breast reduction...
WORTH IT
Hi. i just recently went in for a breast reduction consultation 8/12/11. I am now waiting on approval from my insurance company (TriCare). I am very nervous that i wont get approved because im slightly over weight and i heard that insurance companies base their approval on height and weight and BMI.. Im about 5'3 and i wiegh anywhere between 180-185. My bra size is 44DDD or 40F. either or, Im not quite sure what my exact size is.. Has anyone else had a Breast Reduction before and was paid for by an insurance company? or TriCare? What complications did you have with getting approved? DId you have to show some documentation of going to see a chiro or physical therapy? Basically im looking for some answers and advice about this
Kesh02's provider
UPDATED FROM Kesh02
I started develpoing very early.. By the time i...
I started develpoing very early.. By the time i was 9 years old i was already a C cup. By the time i was ten i had my first period.. I matured very fast and my breast always brought unwanted attention. Any advice or answers about this would be very helpful.. Thanks! :)
Replies (84)
August 22, 2011
IM REALLY EXCITED FOR U MY CONSULTIS AUG 30 IM SOOOOO READY MYSELF MY BEST FRIEND JUST HAD TUMMY TUCK BUT SHE DIDNT GET APPROVED FOR THE INSURANCE.
August 26, 2011
Okay im excited for you too! What size are your breasts now and what size would you like to be? Are you paying for it yourself or are you having insurance pay for it?
September 1, 2011
Miss Perry,
How are you doing? Did you get your approval letter yet from Tricare? If you did when is your surgery?
How are you doing? Did you get your approval letter yet from Tricare? If you did when is your surgery?
September 1, 2011
Hi Kimshells,
No I haven't received my approval letter yet. I spoke with my surgeons.assistant and she said I should know by tomorrow. So im keeping my fingers crossed :/
No I haven't received my approval letter yet. I spoke with my surgeons.assistant and she said I should know by tomorrow. So im keeping my fingers crossed :/
September 1, 2011
Ms Perry,
I hope you get some good news tmrrw. If you dont hear from them tomrrw then i would call them Monday. You can call 1-877- Tricare to see if they approve your sugery. This is the number that i called when i got my approval letter to see if i was reallt true.
I hope you get some good news tmrrw. If you dont hear from them tomrrw then i would call them Monday. You can call 1-877- Tricare to see if they approve your sugery. This is the number that i called when i got my approval letter to see if i was reallt true.
August 22, 2011
Hi MsPerry,
I just had a breast reduction done this past Wednesday that my insurance paid for. Of course I will be responsible for any deductible or copay(though I have met my deductible for the year and that was one motivating factor for getting it done as quickly as I could) My approval from insurance went very smoothly. When I went for my consult with the surgeon I took with me a letter from a previous medical provider that stated she knew that my large breasts had caused me back, neck, and shoulder pain for years. I also took records from a few years previous where I had osteopathic manipulations to my back, and a copy of my mammogram reports that stated my breast tissue was very dense obscuring some of the views. All of this was submitted to the insurance by the plastic surgeon along with his report. I had never been to a chiropractor, but if you have any record from them would probably be helpful as well. The surgeon asked me a lot of questions about treatment I had in the past and while I didn't have a lot of documentation, I told him that I took Ibuprofen daily for neck and shoulder pain, had massages in the past that offered little relief, and had difficulty exercising due to the weight of my breasts causing me extreme discomfort. I did not have to appeal, as they approved it right away. I was worried that I would not have enough documentation, but with the plastic surgeons evaluation and the little that I had it went through without any problems. I do not have TriCare however(is that military insurance?) and don't know what the requirements are for that particular insurance.
Best of luck to you! I hope you hear something soon.
I just had a breast reduction done this past Wednesday that my insurance paid for. Of course I will be responsible for any deductible or copay(though I have met my deductible for the year and that was one motivating factor for getting it done as quickly as I could) My approval from insurance went very smoothly. When I went for my consult with the surgeon I took with me a letter from a previous medical provider that stated she knew that my large breasts had caused me back, neck, and shoulder pain for years. I also took records from a few years previous where I had osteopathic manipulations to my back, and a copy of my mammogram reports that stated my breast tissue was very dense obscuring some of the views. All of this was submitted to the insurance by the plastic surgeon along with his report. I had never been to a chiropractor, but if you have any record from them would probably be helpful as well. The surgeon asked me a lot of questions about treatment I had in the past and while I didn't have a lot of documentation, I told him that I took Ibuprofen daily for neck and shoulder pain, had massages in the past that offered little relief, and had difficulty exercising due to the weight of my breasts causing me extreme discomfort. I did not have to appeal, as they approved it right away. I was worried that I would not have enough documentation, but with the plastic surgeons evaluation and the little that I had it went through without any problems. I do not have TriCare however(is that military insurance?) and don't know what the requirements are for that particular insurance.
Best of luck to you! I hope you hear something soon.
August 22, 2011
Hi Iowa 71.. wow thats good for you i bet its such a relief knowing that you will never have to deal with big breasts again. How are you feeling after surgery? What size were you then? and what are you now if u dont mind me asking. But thank you soo much for the advice. Im very nervous about getting approved because 1, i dont have a lot of documentation besides what my plastic surgeon has sent to my insurance company... and 2, i am what they call "over weight" and i know some insurance companies take height and weight into consideration for BR approval. I think its bull. im not a skinny woman, neither am i fat. i just happen to be a thick and curvy.. i have been my entire life. But we'll see.. It seems like everything went smooth sailing for you.. hopefully it goes the same for me. and yes Tricare is military insurance and i was told they approve alot easier than civilian insurance companies, so im just going to continue keep my fingers crossed!!
August 22, 2011
From your picture I wouldn't have called you fat either. Hopefully your insurance won't be an issue. When I had been researching breast reduction I had come across a letter that someone else had sent in the their appeal after being previously denied and it got them approved. Let me try to find that and I will forward it to you, just in case you need it.
I had been a full 34H. My doctor says I should be about a C cup when all of the swelling goes down.
I really am doing very well. I only took Tylenol with Codeine for a couple of days. Yesterday I took regular Tylenol but that was for a headache and took nothing today. I occasionally have some burning or a stinging pain but it is nothing that isn't manageable. I actually feel good enough that I'm afraid that I have done too much on occasion.
Feel free to ask any questions. I am very open about everything and willing to answer any questions that may help you!
I had been a full 34H. My doctor says I should be about a C cup when all of the swelling goes down.
I really am doing very well. I only took Tylenol with Codeine for a couple of days. Yesterday I took regular Tylenol but that was for a headache and took nothing today. I occasionally have some burning or a stinging pain but it is nothing that isn't manageable. I actually feel good enough that I'm afraid that I have done too much on occasion.
Feel free to ask any questions. I am very open about everything and willing to answer any questions that may help you!
August 23, 2011
Iowa71.. thats good to hear that you are doing well and the pain is manageable for you. But from a 34H to a C cup is pretty significant reduction. Did you want to be that small? But thank you sooo much for getting in contact with me for the appeal letter. Hopefully i wont be having to use that thought lol
August 22, 2011
You ladies are just so supportive, God bless you, Here in Nigeria I have no insurance(it is not common practice) and no surgeon so I have to go out of my country to have the procedure done. You all are so lucky and I pray Ms Perry would be just as lucky too. I know what you're going thru Miss Perry and I wish you the best.
August 23, 2011
Funmi, thank you soo much for the prayers i will be back to update everyone to let them know if i got approved or not. But that is unfortunate that you dont have insurance in Nigeria. My family is from Liberia so i know how stressful getting health care can be. I hope that someday you will be able to come here to the states and get a reduction, because i know how much a pain having big breasts are.
UPDATED FROM Kesh02
Well ladies..... the moment that we all...
Well ladies.....
the moment that we all have been waiting for!!!!!
I went online today and i also called my insurance company and guess what
wait for it.......
I WAS APPROVED!!!! Yes the day that i have finally been waiting for!!!!!!! Iam soooo excited words cant even explain!!!!!!!!!
Iam going to call and speak to my surgeons assistant in the morning to confirm the approval!!!!! But ohhhhh my goshhhhh!! I never thought id see this day.... Thank you to all the women here on Real Self that have been encouraging me, i really appreciate that. You guys really lifted up my spirits because i was starting to feel a lil bumped out and getting approved!!!! I will keep you guys posted on when i set a day for my surgery!
the moment that we all have been waiting for!!!!!
I went online today and i also called my insurance company and guess what
wait for it.......
I WAS APPROVED!!!! Yes the day that i have finally been waiting for!!!!!!! Iam soooo excited words cant even explain!!!!!!!!!
Iam going to call and speak to my surgeons assistant in the morning to confirm the approval!!!!! But ohhhhh my goshhhhh!! I never thought id see this day.... Thank you to all the women here on Real Self that have been encouraging me, i really appreciate that. You guys really lifted up my spirits because i was starting to feel a lil bumped out and getting approved!!!! I will keep you guys posted on when i set a day for my surgery!
Replies (15)
September 9, 2011
Yes!!! I told you it would be by Friday!! Next -- you'll have a surgery date and we'll be talking about pre-op procedures. :)
September 9, 2011
Miss Perry,
I'm glad that you got approved. I knew you were going to be approved for your surgery. When you plan on having your surgery?
I'm glad that you got approved. I knew you were going to be approved for your surgery. When you plan on having your surgery?
Replies (0)