I have to provide AETNA with 3 mths of conservative treatment.?

Question

I am trying to get a breast reduction and my doc sent me a letter saying that before they can submit my pre-documentation, I have to submit documentation of 3 months conservative treatment (ex: therapeutic bra, chiro care, phys therapy...) Do you have any ideas on what to submit w/o actually going through 3 mths of treatment? I don't mean like lie about it or anything, but something like unsupervised treatment such as at home excercising and weight loss, supportive bras, etc...

Answer 1

Have you had any physical therapy or anthing like that? If so, have those practitioners write you letters. Also, buy a therapeutic bra and copy the receipt, then return the bra. Honestly, if the insurance wants proof of 3 months of trying other options, it's not that much to ask for if they'll pay your entire surgery costs. It'd be worth it to start physical therapy for 3 months if you don't have to pay for your breast reduction surgery.

Answer 2

That sucks that you actually need to do that. All I had to do was complain about my back pain to the PS and my insurance had no problems approving me.

I would see if there are any other doctors that do not need that documentation (you should see at least three Plastic Surgeons before choosing one to do your surgery).