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POSTED UNDER Breast Reduction REVIEWS

Breast Reduction 3/29/12, 7 weeks Post op NEW pics added. Macon, G.A

ORIGINAL POST

Hello, I am a 28 year old Mother of 3 children...

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darkandlovely
WORTH IT

Hello, I am a 28 year old Mother of 3 children ages 10,7 and 11 months. I have always had large breasts but since having my last child and breastfeeding for 8 months I started to experience some issues with My Neck, Shoulder and Back. My current bra size is 38DD or 36DDD and I am 5'3 154 lbs.

I decided after several months of pain and discomfort to take my issues to my PCP. Once my new medical coverage started for 2012 I scheduled an appointment and advised him of my Pain due to heavy Breast load. My Doctor checked me and stated that he thought I would be a Great candidate for the surgery and Immediately scheduled me to start Physical Therapy. I faithfully went to Therapy twice a week for 4 weeks which was unsuccessful in relieving my pain. Since Physical Therapy was unsuccessful I went back to my PCP to advise and immediately gave me a refferal to a Plastic surgeon of my choice. At this time I am scheduled to meet with 2 different Plastic surgeons before making a decision on who I would like to go with. I am keeping my fingers crossed that once I make my choice I am able to get this covered by Insurance.... I will keep u guys updated.

darkandlovely's provider

Oladiran Afolabi-Brown, MD

Oladiran Afolabi-Brown, MD

Board Certified Plastic Surgeon

darkandlovely

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UPDATED FROM darkandlovely

I am so Scared that the insurance will decline...

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darkandlovely
I am so Scared that the insurance will decline coverage for this procedure. My PCP recommended the surgery but did not give me a letter to help my cause. When I asked him about giving me a letter he said that Thats all handled by the Plastic Surgeon. Is that True? Other than the refferal shouldn't he have supplied me with a Letter stating he found it medically necessary? When I completed my Physical Therapy All I was given was a copy of what was done and that it was unsuccessful in relieving my Pain. She did note that I have Kyphosis (I think thats how its spelled) but no where did it mention that she thaught a breast reduction appeared to be medically necessary :-(. Did anyone else go through this and was able to get approved?Let me know what u think PLEASE.

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June 24, 2016
Yes you PS sends the insurance company the necessary documents. I was afraid my insurance wouldn't cover. I went for my consultation on June 3, and today June 23, I got the call I'd been waiting for. Now after my summer trip July 1, I'll know my exact surgery date. Now I'm really nervous AND excited at the same time. So if your PS note it a medical situation, 9 times out of 10 they will. Good luck!!!
UPDATED FROM darkandlovely

I added some before pics

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darkandlovely
I added some before pics

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February 13, 2012
My plastic surgeon did write a letter for me, but it would be different in GA. I am really not sure. My primary care doctor cared for me for months before I saw a plastic surgeon. He had me on a diet plan, X-rayed my back, and sent all that information to my plastic surgeon. I'm not sure if that helped, and I have United Health Care HMO and I am covered 100%. It all will depend on insurance and the plastic surgeon. If you are rejected you can write an appeal, or try again at a later time to try and get approved.
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February 13, 2012
@Zumba, Thanks for your response.. I have United Healthcare Choice Plus and They advised me that the only requirement is for the procedure to be medically necessary in order for them to cover it but I really don't want to deal witha having to go through the appeal process and all. I am very hopeful that I will get approved on the first time around.
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February 13, 2012
UNC has been very good to me since 2006. Good luck to to you. Please leave updated!!
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February 13, 2012
I did get approved without X ray and Therapy with in a short space of time. I do believe its luck and chance. So good luck ..
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February 13, 2012
We have the same bra size. I went to the chiropractor for less than 6 months and got approved. My PCP didn't provide a letter for me either. I'm not sure what my PS said, but she knew what to say to make sure she got paid. I felt the same way with anxiety about getting denied, but I didn't. I will be believing the same for you!