Treatment Provider

Ralph Trey Aquadro, MD
Board Certified Plastic Surgeon
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Felt Unheard and Not Utilizing my Insurance Per my Care.

Took measurements and wasn’t familiar with Blue Cross Blue Shield of Tennessee’s guidelines for breast reduction. So I was told I would have to pay out-of-pocket for the surgery. Never did a pre-certified or pre-authorization through my insurance for them to determine whether or not it was gonna be covered. Just felt like not all stones had been turned over to address my needs. I’ve had an accident and have pain in my upper body and neck, but I felt like I was ignored and wasn’t being heard.

Ralph Trey Aquadro, MD
Ralph Trey Aquadro, MD
02 Jul 2025

I am sorry that you felt "unheard". I am also very sorry that you have pain. I'm sure this is frustrating. I wish I could make that pain go away. However, I evaluated you, and your very complex history at your consultation. I stated that I do not know off the top of my head what BCBS of TN requirements are, but I would check to see if you would qualify. There are 50 states and multiple insurers in each state. All of them have different policies and requirements. After reviewing BCBS of Tennessee Medical Policy Manual, I determined that you do not qualify for Reduction Mammaplasty per their guidelines. You can find it online by googling "blue cross blue shield tennessee lcd cpt 19318". Please review. I have zero control of BCBS and what they cover. I hope you find someone that can take your pain away.


Provider Review

Board Certified Plastic Surgeon
1935 E. Glenn Ave., Auburn, Alabama
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Overall rating

Ralph Trey Aquadro, MD
Ralph Trey Aquadro, MD
02 Jul 2025

I am sorry that you felt "unheard". I am also very sorry that you have pain. I'm sure this is frustrating. I wish I could make that pain go away. However, I evaluated you, and your very complex history at your consultation. I stated that I do not know off the top of my head what BCBS of TN requirements are, but I would check to see if you would qualify. There are 50 states and multiple insurers in each state. All of them have different policies and requirements. After reviewing BCBS of Tennessee Medical Policy Manual, I determined that you do not qualify for Reduction Mammaplasty per their guidelines. You can find it online by googling "blue cross blue shield tennessee lcd cpt 19318". Please review. I have zero control of BCBS and what they cover. I hope you find someone that can take your pain away.