Insurance Denied Coverage of Breast Reduction - How Can I Appeal?

There are no secret weapons but persistence is a virtue when it comes to insurance companies. Consider taking a 10 pound weighted bra into the CEO of the insurance company and asking him/her to wear it 24x7 for just one week.

Thank you for the question.

As you have found, it can be very frustrating dealing with insurance companies. I would suggest you write an appeal letter and have your physicians do the same. Be persistent.

Best wishes.

What you need to do is talk to your insurance company and see what it takes to get authorized from their perspective.  With that infomation, you can then talk with your surgeon and see what may need to be done.  Some want you to go to physical therapy first, while others want notes from an orthopaedic surgeon, etc.  It can be a struggle, but just keep fighting with them and see what it is going to take.