diastasis of the rectus muscle. the risks of having the decending aorta expose and the insurace not wanting to cover it. Even though is deems a medical neccesity. The Insurance Co says If I can mail them proof of research or medicals issues of a separation of the abdominal wall due to pregnancy then they would cover it. there is not much out there. I have had 3 docs tell me the sam thing that my aorta can be felt... its not protected and if i get hit even acidentaly,,, i could tear the aorta and bleed out and die. It needs to be repaired asap... but it falls under plastic RECONSTRUCTIVE surgery not plastic surgery. help anyone??? I know there are smart doctors/nurses out there insurance specialists... medical professionals... geniuses... somebody...!!!! ughhh
2007-03-05 01:13:56 · 3 answers · asked by misspookett 4 in Health ➔ Diseases & Conditions ➔ Heart Diseases
I think that due to abdominal separation, your abdominal aorta is exposed to external pressures. It may burst as if an abdominal aortic aneurysm (AAA). You are in need of medical documents to prove that plastic reconstructive abdominal surgery is a necessity.
Only medical professionals can help you in the matter.
Please note that I am not a medical professional.
Please see the web pages for more details on Abdominal separation, Abdominal aortic aneurysm and abdominal wall surgery.
2007-03-05 02:51:00 · answer #1 · answered by gangadharan nair 7 · 1⤊ 0⤋
Your physicians should be able to provide medical documentation that you have this condition. They should also be willing to help. Or, a surgeon would be aware of the condition also. I would start there first. Tell them what your insurance company is telling you. Usually it only takes a doctor to write the insurance company to get this clarified. I don't understand why the insurance company would expect you to come up with proof that the condition exists. You should ask them, " Are you a medical doctor?" "So, are you saying that you are in the position to go against 3 medically trainded professionals on this issue?" "I'm sorry, what medical school did you say you went to?"
I smell a rat here. Sounds like the insurance company is fishing to find a way not to pay for this procedure. I believe that very well may be illegal. Especially if it is medically deemed necessary to correct this.
2007-03-05 11:49:04 · answer #2 · answered by Anonymous · 1⤊ 0⤋
Try WebMD.com, might find some links there.
2007-03-05 09:16:34 · answer #3 · answered by Anonymous · 1⤊ 0⤋