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I Was Recently Denied For A Breast Reduction Through BCBS. I Am Appealing, But Am I Wasting My Time?

white5722
I recently was denied for a breast reduction(BCBS), I am appealing, but am I wasting my time?The reason for denial was they said I would need to have 500g removed and my doctor was only removing 400g. I am 5"9 and 159lbs. I understand BCBS uses the Schnur scale, but is this something they are flexible on? Meaning if I can prove EVERYTHING else will they let 100g slide, or is this a firm thing, and the end of the road for me? If so, is there anything I can do? Loose weight, shrink a few inches:)

Answers (12)

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Ronald J. Edelson, MD profile photo
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Robert L. Kraft, MD, FACS profile photo
Dr. Robert L. Kraft, MD, FACS
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