Waiting on an Appeal for a Reduction - Medina, OH

Yeah! Going in on the 5th of October at the Cleveland Clinic. Have to self-pay due to NEW and (UNimproved) insurance plans that aren't covering reductions at all unless you have cancer. They better not decide to take THAT away too - that would be a horrible outrage...

Here's my update. No insurance coverage even though they say it's medically necessary. Only covered if cancer. I will be going in at the Clinic on Oct.5th with self pay. Got a great quote from a veteran surgeon. I'm thrilled. Will keep you posted.

I am a 43 year old stay at home Mom of 4. I have always felt I needed a reduction since I went from an A Cup to a D Cup in one summer of high school - I eventually ended up as an F Cup. My back and neck have ALWAYS been hurting with headaches too. I don't know if the insurance is penalizing me because I don't have indents and constant rashes under my breast. I have always been careful to wear large padded straps and minimizers to keep me from sagging, now I wish I hadn't;( I have appealed the ruling and am waiting on their "Almighty" decision (arghh). If they don't approve it, I am considering getting the surgery done in Columbus through Ohio State's Resident Surgery program. They will do it "out the door" for about $4600 - paid ahead. The ONLY way I can do that is to borrow the $ from my Mom who desperately wants me to have it... anyone ever go this route? I'm concerned about the 2 hour drive home after the surgery and the pain/nausea level. I may consider asking a nurse friend to spend the night with me down their in a hotel near the hospital until the drainage tubes come out. Is that one or two days after surgery? THANK YOU for hearing my story and I would appreciate any input you have.