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on the basis that it isn't medically necessary like breast reduction

* Any advice on what to base my appeal on if I haven't really seek treatment to releave all the paine caused by the extra weight?

2007-10-30 06:22:22 · 4 answers · asked by Missy 4 in Health Women's Health

the pain is cause by heavy breasts
I haven't had surgery, but want to have it done to releive the pain

2007-10-30 06:29:30 · update #1

4 answers

physical inspection of your back and shoulders will show a doctor that the heavy breast tissue is pulling, it often causes discoloration of the skin called petichiae as well as discomfort etc. You may be aware of what you need, but until you can prove that need, you cannot appeal the insurance company's decision. Get your proof and try again.

2007-10-30 06:29:52 · answer #1 · answered by essentiallysolo 7 · 1 0

You can appeal it all you want to, but unless you have a doctor's note for the insurance company, proving that it is medically necessary because it's the only thing that will relieve your pain, the claim will continue to be denied.

2007-10-30 06:29:17 · answer #2 · answered by porcelina_68 5 · 1 0

No, there is none. you could continually ***** on your state insurance commissioner, yet if reality learn, until eventually you reside in a "assured situation" state, the place they could situation you a coverage, they flat out do no longer could situation you a coverage. they do no longer even could permit you already know why. i'm going to permit you already know, nevertheless, that it fairly is rather, rather stressful to discover a private coverage on ANY baby below a year previous - there are various of of checkups and immunizations, that it fairly is genuinely greater costly than any time in the subsequent 18 years, that first year. i think of you are going to could purchase the COBRA insurance for the subsequent 18 months. and then in all danger certainly one of you is going to could get a job, in basic terms for the sake of the insurance advantages.

2016-10-03 00:50:01 · answer #3 · answered by ? 4 · 0 0

You shouldn't be getting your breast reduction paid for by your health insurance company in the first place. If your in pain you should be getting it paid for that was caused by the surgery because it wasn't you fault that you would be in pain from that.

2007-10-30 06:27:09 · answer #4 · answered by Margaret D 2 · 0 2

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