42 Y.o. and Have Been Needing This for a Long Time
I am 42, 5'2" and currently 140 lbs. I am a 32 HH....
I am 42, 5'2" and currently 140 lbs. I am a 32 HH. I have met with an ANP and she took my measurements and has submitted all of the paperwork and photos to my insurance. I have CIGNA, and I have heard that they are difficult to get approval from. Of course, she said that we could appeal if I get denied, so I am already planning for that. I suffer from chronic shoulder, neck, and back pain. I have been going to a chiropractor for about two months now, it gives some relief, but it is only temporary. I am still waiting to hear back from her. She did say that it could take a couple of months before she hears anything back from them. I saw her Feb. 24. I really hope that I get approved for this. I am so sick and tired of being in pain all of the time.
Just Checking In
I have tried calling the ANP that I saw and I still have not heard anything back yet. I guess she has not heard anything from the insurance company. It has been six weeks since I saw her, so I guess I will give her a couple more weeks before I try again. I am getting really edgy waiting to hear something back from her. My regular practitioner wrote a letter of recommendation, and I think that maybe she did too. She did tell me that she thought that I was an excellent candidate for the surgery since I didn't have any other serious health problems and the weight of my breasts were causing poor posture and that they were too big for my frame, not to mention the pain that I'm in constantly. I'm really hoping that I don't have to jump through any hoops for the insurance company, but I will do what I have to do to get them to pay for it.
I still have not heard anything back yet. This is really starting to get aggravating. I'm going to call my insurance company myself and see what is going on. I plan on doing that tomorrow during my lunch break. There is a rumor going around that we may be switching insurance companies in July. We might be going to BC/BS. I wonder if they will be any better to deal with. I won't get an appointment with a PS until insurance approves it.
Finally found out what's going on
Well, I called my insurance company and what they told me did not make me happy. They told me that they never received anything from the Dr.'s office! I was SO upset. But I'm trying to look at it like a blessing in disguise. When I went for my initial consult I had just started going to my chiropractor. I talked to a really nice lady that handles all of the precertification work and she told me to get all of my records and x-rays from my chiropractor. She said that as soon as she gets it she will submit it to my insurance. Now I have been going to the chiropractor for about 2 1/2 months now. I have an appointment tomorrow so I will pick everything up then and get it faxed/mailed. I read that CIGNA requires you to have physical therapy - does anyone know if going to a chiropractor could count towards that?
I received a message today from Angel, the lady that handles the certification paperwork for the insurance companies. She received everything in the mail and sent everything off to CIGNA. She said that it shouldn't take too long to hear back from them. I'm going to be waiting on pins and needles! But from what I've heard about them, it wouldn't surprise me if I got denied the first time. It's okay though, I'll fight them until I get it. I will not give up. Watch out CIGNA!!!
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