T O P
  • By - lmsid

Life_Flamingo

Why do they want to remove even more breast tissue?


lmsid

They're saying that 520 grams isn't enough to deem it medically necessary. The way my surgeon explained it was that if it's not enough to deem it so, then they consider it a breast lift which is purely cosmetic and not covered by insurance


tazbaby1101

Appeal, and see if sending pictures can help.


lmsid

They took pictures during the consult. I'll appeal and confirm they sent them.


thelordgizmo

The insurances are getting worse and worse. I cannot believe 520 isn’t good enough…wtf. it’s a long battle see what your options are. Usually out of pocket is sooo much but if financing is an option sometimes it’s better to pick a good doctor and do this for you vs arguing trying fo prove to a capitalist shark why you deserve this to be covered. idk where you live but, some areas and insurances are def more giving and listen to appeals. I’m so sorry I know how you feel it’s the worst. But you also deserve to not be in pain.


lmsid

Yeah out of pocket is $11,680 🙃🙃🙃 I'm in Kansas City, MO so there are a few people to see here but if I need to I can always drive out to a different metro area like St Louis. I know I can't exactly put a price on the relief I'd get both physically and emotionally, but right now 12k is too much to wanna imagine paying lmao


thelordgizmo

I feel you. I’m paying 15-17 and it’s been an emotional roller coaster but I cannot deal with insurance in the nyc area and I’m a teacher. No other time but summer. my insurance said I had to have every category checked off, it was just so ridiculous and disgusting. but I am positive you can make insurance help for parts of it. it just may take time to do like 6 months of PT, more proof, etc. 770 is a lot wth!


lmsid

Yeah I'm gonna have my chiropractor help me out a little more with records, and maybe go to an ortho clinic for the leg pain. It's all so ridiculous. My doc said 520 would reduce my size by about half so yeah if we did 770 might as well just do a full on top surgery ffs


lmsid

Thank you for your response btw! I'm sorry you're going through this shitty process but at least you're not alone 🙃💜