Michelle, congratulations on your awesome weight loss! I have also been denied for my plastics. Actually, I've been denied 3 times, but I'm not done with them. How dare they tell me it's "cosmetic" when my panni hangs over my coochie?!? I'm now at second level appeal and if they deny me again I'll take it to an independent review board. I'm not going to pay the 8-12k out of pocket if there is any way I can get or force my insurance to pay. My latest appeal letter is on my profile if you are interested. Go ahead and find out what the appeal process is and keep trying until you can try no longer! Good luck!