HMO denied me for Boobs and even Scar Revision

godzilla
on 3/18/12 7:10 pm - Israel
The HMO Excess Skin Removal Comittee does not deem
my upcoming surgery for breast lift and revisions of acar that are very keloid and hypertropic to be medically necessary!
Damn them!!!
I if course plan on appealing but after I talk with my GP (whom I am waiting to see in the next hour) on these bad turn of events and the possibility of inguinal hernia.
I am not giving up-not with surgery scheduled mid-May!
I just don't know when I am supposed to tell my PS my frustrating news or wait until I appeal.
Words of advice and consolation are welcome.
Mikimi in Israel
alla B.
on 3/19/12 1:21 am
Sorry for that!
Appeal, appeal apeeal.i won my appeal with my insurance, it was hard but worthed.Good luck.
alla

PART 1 VSG  03/28/2006;  PART 2   DS  01/31/20007

godzilla
on 3/19/12 5:10 am - Israel
Definitely working on the appeal.
I was at a friend this afternoon who has a scanner so
I can email everything to the proper appeals department.
I'm schedules for Breast Lift and scar revision and even the scar revision they decided is unnecessary!
Hello-my scar on my abdomen looks like a rope and itches!
Mikimi
sublimate
on 3/19/12 4:48 am - San Jose, CA
I'm so sorry to hear this. I know how much you wanted this. I hope an appeal works for you.

Start weight: 388, Current Weight: 185, Goal Weight: 180, Weight Lost: 203 lbs
Certified Nutritionist VSG FAQsublimate: To elevate or uplift.
3/2012 Plastics: LBL, 3 Hernias Fixed, BL/BA, Rhinoplasty & Septum Fix. 6/2013 Plastics: Arm and thigh lift

godzilla
on 3/19/12 5:11 am - Israel
You my dear I will call on my tonight to see how you are doing!
Mikimi
brickchick
on 3/19/12 5:03 am
 ((((Mikimi))))

Fight it lady!!!!!  Insurance companies are notorious for this kind of thing.  This is not cosmetic, it's recontructive.  Fight it!  

Big hugs to you and keep us posted.

Alice

304/270/146/159/145
HW/Surgery/Current/Surgeon's goal/my goal
Plastics with with Dr. Sauceda on 05/03/2012
Brachioplasty/Extended Tummy Tuck with Anchor/BL/Med. Thigh Lift

Love my Body By Sauceda

godzilla
on 3/19/12 5:16 am - Israel
I am most definitely fighting.
And I supposedly have an inguinal hernia that I want to get USed and I'm "supposed" to get a colonoscopy to rule out why my tummy hurts after I go to the toilet and it's swollen in the evening sometimes (duh I had TT in August)! But gotta play by the rules.
Mikimi
Oh I am jealous of anyone who gets to go to Dr.S-his reputation precedes him.
sublimate
on 3/19/12 5:23 am - San Jose, CA
I'm home all day since I'm laid up so call me any time it's convenient for you. Hugs.

Start weight: 388, Current Weight: 185, Goal Weight: 180, Weight Lost: 203 lbs
Certified Nutritionist VSG FAQsublimate: To elevate or uplift.
3/2012 Plastics: LBL, 3 Hernias Fixed, BL/BA, Rhinoplasty & Septum Fix. 6/2013 Plastics: Arm and thigh lift

Jmbrown081
on 3/19/12 7:16 am
 Good luck with the appeal, I'm hoping that you win!!!
godzilla
on 3/19/12 8:10 am - Israel
Thank you,
Mikimi
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