40 undergoing bilateral breast reduction and tummy tuck

I have Horizon Blue Cross Blue Shield PPO and they were very strict with approving it. I had to see 3 doctors besides the plastic Surgeon who requested it and two had to be experts in musculoskeletal arena so I saw an Orthopedist for neck and shoulder pain as well as a chiropractor for a minimum of 6 months. My orthopedist had me see a physical therapist for about 8 weeks, as well as I had to have an MRI done etc. You have to show documentation that you have done conservative therapy first like over the counter as well as prescription medication, physical therapy, massages chiropractor as well as have different physicians document that you have pain. I had medical notes from an orthopedist, Chiropractor, family practice doctor and plastic surgeon had to show documentation through the past 6 months that I was under their care for neck and shoulder and back pain and they tried all conservative therapies first. Once all of that medical documentation was submitted it was approved . I started the process as soon as I gave birth because I had met my out of pocket max and so I could see all of those doctors without paying anything out of pocket since I had already met my out of pocket max from giving birth. I hope this helps.