POSTED UNDER Breast Reduction Reviews
Went to Consult...- Salinas, CA
UPDATED FROM big_boobs_mcgee
We've got a plan!
$8,000
After speaking with my PS office we have a plan! I'm going to complete PT, like the insurance requires, and I'm also going to pay out of pocket to see my old Chiropractor from when I was 16. He is the originally health care professional who recommended I get a reduction. He will assess me and then write a letter to my insurance company. I also need to write a letter stating why I'm in need of this surgery. I will also get a letter from my PT at my re-assessment on November 25th to give to my insurance company. Man, so many hoops to jump through just to prove my need for this surgery! Once I have all the letters, my PS office will re-submit. They said my insurance CANNOT deny then because I will have complete the requirements they stated in writing. I'm hoping it will get re-submitted by the end of November! I'm feeling hopeful again.
big_boobs_mcgee's provider
UPDATED FROM big_boobs_mcgee
Super bummed
I just received the denial letter. It states "Approval criteria for reduction mammoplasty include the requirement for 'four to eight visits of physical therapy or chiropractic care, 2 to 4 months of home exercise for cervical, shoulder, or upper or lower back pain". Has anyone gotten one similar to this? It's passed 5 o'clock therefore I can't call my PS or insurance for further explanation. I'm certain it means they want me to participate in PT before they'll consider covering the cost of the surgery. It's a let down but I know everything happens for a reason. I start PT tomorrow and will be going twice a week until the beginning of December. Bottom line is I'm roughly a size G on a thick 5'3 frame. I have permanent shoulder indents, rashes under my breasts, lower back pain and neck pain. My guess is that the person who denied my request is either a man or a woman who has never been in our shoes... Or size bra!
Replies (3)
October 30, 2013
I got denied within 24 hours of submitting my claim. I didn't want to deal with waiting anymore or the appeal- I just wanted it done so I went the cosmetic route
October 30, 2013
That's awesome that you we're still able to have it done. Unfortunalty, I don't have the means for out of pocket.
October 30, 2013
I'm sorry your insurance denied you. That's really a bummer! Don't give up though. There are plenty of women on here who were denied, some more than once, and still were approved in the end. That's good that you are already starting PT. And 4-8 visits could be done in two months! You'll get there. :-)
November 1, 2013
I was approved, however insurance is paying very little because my deductible is so high. Going to do it anyway. Surgery is set for Nov. 20th! My cost will be 7,700.00. I am using the Care Credit card. 0% interest for up to 2 years. I'm so over these big boobs! Good luck to you. I hope you get approval. I told my doctor that if these were testicles, they would be covered always! Lol
Replies (3)
October 27, 2013
Good that you started the process - I am sure help is on the way! I am scheduled in 8 days! Yikes - as yet unprepared. Once you set your mind on it you will find a way. Good luck.
October 27, 2013
I was also a 38G and my PS got me down to a D. I was hoping for a C but anything is a huge improvement in my eyes. You can read my review if you want to see my journey. I do need to update my photos soon!
PS they look 4 1/2 pounds from me!
October 28, 2013
Your review was actually one if the first I read. They're all very encouraging! I'm stumped on how small I want to go. I'd be happy with a D I think. :)
October 28, 2013
Aww that's great, I also were looking for ladies that were the same size as me so I could get an idea where I would end up. You will be SO pleased when this is behind you!
Replies (3)