POSTED UNDER Breast Reduction Reviews
23 , 2 Kids , Big Boobies. Illinois, IL
UPDATED FROM ProudMommy_2
Chiropractor Appt
I'm trying to keep my story as detailed as possible so excuse the boring parts lol I'm hoping it will help somebody somewhere..
Anyways..
I made and appointment with the chiropractor for next Tuesday. when I called to set up the appointment I explained what was going on and
my need for this medical letter...the receptionist seemed pretty annoyed , probably because she felt like it was a waste of time which I can't blame her I feel the same!
I hope they can give me what I need, even though I'm wanting to wait until September.. I know k have plenty time just feels better to get everything straightened out as soon as possible.
UPDATED FROM ProudMommy_2
Letter of medical necessity .. Help
Consultation was great. But for insurance they want a 'letter of medical necessity' I didn't really understand how she was explaining it...I understand what it has to say but the timing is what has me confused..
I asked if I should just go to my primary care doctor and complain about back pain or do I have to go to a few different appointments so show a pattern...
The plastic surgeon , Dr. Russel , took one look at my breasts and was VERY confident I would be approved by insurance and he didn't seem to concerned about this letter...
Has anyone else needed a letter like this? what should I do!!
I asked if I should just go to my primary care doctor and complain about back pain or do I have to go to a few different appointments so show a pattern...
The plastic surgeon , Dr. Russel , took one look at my breasts and was VERY confident I would be approved by insurance and he didn't seem to concerned about this letter...
Has anyone else needed a letter like this? what should I do!!
Replies (1)
_
June 1, 2016
Usually, they want you to go to a specialist to confirm your chronic pain. If you have pain in your back and neck, then you would need an Orthopedic evaluation (an Orthopedic doctor) or Chiropractor. They will probably take X-rays to confirm it's not a degenerative disease that is causing the pain. They would then write up a note/letter explaining if they believe breast reduction surgery would help alleviate your pain.
Plastic surgeons need two things to help prove to your insurance company that you need BR surgery:
1) pre-authorization letter from your primary care physician (this however usually cannot be done until they get the letter from the specialist)
and
2) letter from a specialist stating they have evaluated you and deemed surgery necessary or helpful
Plastic surgeons need two things to help prove to your insurance company that you need BR surgery:
1) pre-authorization letter from your primary care physician (this however usually cannot be done until they get the letter from the specialist)
and
2) letter from a specialist stating they have evaluated you and deemed surgery necessary or helpful
_
June 1, 2016
Most women that go to a plastic surgeon looking for a breast reduction fall under the criteria of a medical necessity. However, insurance companies are soo stingy about paying the costs for the surgery. Having all your documents prepared before your consultation is beneficial in proving your case to the insurance company, i.e. letters from your doctor and specialists, pictures, examinations, etc.
UPDATED FROM ProudMommy_2
more pics..
Does anyone else notice it is harder to breathe while laying on your back? Then once I turn to the side it's like my airways are reopen ... sssoooo ready for them to be gone :(
Replies (1)