POSTED UNDER Breast Reduction REVIEWS
27 Yrs Old and Ready to Confidently Live my Best Life Ever! - Snellville, GA
ORIGINAL POST
I am grateful to have a diverse community of...
msD.February 22, 2016
I am grateful to have a diverse community of women with some of the same issues and concerns to come together and share their experiences in a positive manner. It gives me the courage to share my journey. I was going to wait until I received my approval from my insurance company (BCBS Illinois) but I decided to share my journey now. I've always loved myself in clothes but I lacked confidence naked because the way my breast looked. I have never let a man see me fully naked standing up.
Yes! I some of the same pains as others the neck, shoulder, mid/lower back pain, and tanging sensation to my left hand. However, the worst pain of all is my low self-esteem when I am naked and my large hanging breast are staring back at me in the mirror and I quickly put back on my too small bra a 38DD (it provides the support I need). It also leaves me with shoulder grooves and permanent dig marks on my side, I was told I wear a "G" but IDK.
This time last year, 1/28/15, I signed up for this site excited about my breast reduction. My primary care doctor referred me to a plastic surgeon and I thought I was good to go. Both said I was a good candidate because I am 5'1 1/2 and 180lbs( I have a big butt, thighs, hips, and a smaller waist). I was denied by BCBS Illinois due to "lack of Documentation". I thought it wasn't meant to be. It made sense, why would an insurance company spend thousands without detailed documentation then they would go out of business. I gave up and continued with life. After my 27th birthday, 1/18, I decided to revisit a breast reduction. I realized at my smallest weight back in 2013-2014 at 165lbs the one thing I wanted to change was my breast and I will not be 100% happy until I have smaller and better breast. I begin the journey again now at 224lbs with even larger breast than last year. Since then I changed Plastic Surgeons.
My tips for approval even though I patiently wait to hear back from the insurance company. 1.) Research! Research! Research! not only the plastic surgeon but pictures, read reviews, and stories about a breast reduction. 2.) Talk to your primary care doctor and get their referral but go prepared to ask questions and let them know you have done your research. 3.) Reach out/ call your insurance company to find out the criteria for breast reduction and follow the steps. For BCBS Illinois at the minimum you had to try physical therapy for 6wks, I am currently in week 4 of physical therapy. My plastic surgeon assistant asked for a "plan of action" from the physical therapist and she sent it off on or around 2/8/16 or 2/9/16. I am still going to go to physical therapy because it has been helpful and relaxing.
Yes! I some of the same pains as others the neck, shoulder, mid/lower back pain, and tanging sensation to my left hand. However, the worst pain of all is my low self-esteem when I am naked and my large hanging breast are staring back at me in the mirror and I quickly put back on my too small bra a 38DD (it provides the support I need). It also leaves me with shoulder grooves and permanent dig marks on my side, I was told I wear a "G" but IDK.
This time last year, 1/28/15, I signed up for this site excited about my breast reduction. My primary care doctor referred me to a plastic surgeon and I thought I was good to go. Both said I was a good candidate because I am 5'1 1/2 and 180lbs( I have a big butt, thighs, hips, and a smaller waist). I was denied by BCBS Illinois due to "lack of Documentation". I thought it wasn't meant to be. It made sense, why would an insurance company spend thousands without detailed documentation then they would go out of business. I gave up and continued with life. After my 27th birthday, 1/18, I decided to revisit a breast reduction. I realized at my smallest weight back in 2013-2014 at 165lbs the one thing I wanted to change was my breast and I will not be 100% happy until I have smaller and better breast. I begin the journey again now at 224lbs with even larger breast than last year. Since then I changed Plastic Surgeons.
My tips for approval even though I patiently wait to hear back from the insurance company. 1.) Research! Research! Research! not only the plastic surgeon but pictures, read reviews, and stories about a breast reduction. 2.) Talk to your primary care doctor and get their referral but go prepared to ask questions and let them know you have done your research. 3.) Reach out/ call your insurance company to find out the criteria for breast reduction and follow the steps. For BCBS Illinois at the minimum you had to try physical therapy for 6wks, I am currently in week 4 of physical therapy. My plastic surgeon assistant asked for a "plan of action" from the physical therapist and she sent it off on or around 2/8/16 or 2/9/16. I am still going to go to physical therapy because it has been helpful and relaxing.
msD.'s provider
UPDATED FROM msD.
Denial is nothing but a delay and perfect timing
msD.February 28, 2016
I received a denial letter from BCBS Illinois again, I am not upset nor frustrated like I was last year. This year I refuse to take a NO! I will have this surgery in mid May, I believe it! I am currently gathering all my medical records, prescriptions, and physical therapy notes. I setup an appointment with my primary care doctor due to chronic back pain and the physical therapist felt lumps in my back that he's concerned with, I have been in chronic pain since 1/19. If anyone have an encouraging message or insurance denial then approved story, Please leave them below.
Replies (3)