Appeal filed

May 18, 2007

My appeal was filed on May 15th, and then resubmitted on May 16th, with confirmation from Jan, the supervisor of the appeals department.    That same night I ended up in the emergency room with pain in my right upper quadrant. 

They have now decided that I have multiple gallstones and that my gallbladder needs to come out.  So while I have an appeal in with my insurance company, I am looking at having to have surgery to have my gallbladder out...  I am hoping that this will not cause issues with my appeal!!
Waiting anxiously for general surgery AND tricare to get back to me!

I have been deined. :-(

May 18, 2007

On May 7th I found out that I had been denied my abdominoplasty based on lack of medical necessity.  I am quite disappointed, but I am not going to let it get me down.  I am going to appeal.

Hurry-up and WAIT!!!!

Apr 27, 2007

On the 25th I saw the plastic surgeon.  His office has submitted for pre-authorization on the 26th.  Now I am simply waiting for the insurance to give a response.  

The plan for my reconstruction is to do a 360 abdominoplasty, and a breast augmentation - with a breast lift on one side.  These procedures should be done in one session.  

About Me
Oceanside, CA
Surgery Date
Jul 04, 2006
Member Since

Friends 4

Latest Blog 3
Appeal filed
I have been deined. :-(
Hurry-up and WAIT!!!!