What's the best way to get my insurance to pay for a breast reduction?!
Question: I have constant backaches....???
Answers: I have constant backaches....???
Complain of backaches.
I went to a few PS's located in my health insurance directory and they sent in pictures and documentation they did about my breasts and complaints and in 4-8 weeks I was approved for surgery!
I did not need to go to a chiropractor, or have doctors visits documented, etc. however some insurance companies will want that.
You should have your doctor document, backaches, headaches, etc. Typically when these sorts of symptoms are present the insurance will take that into consideration and assist with the procedure. It will depend on your particular carrier though as the surgery is still considered elective. Talk to your carrier and your doctor. Be sure you have a board certified plastic surgeon do the procedure too.
First, talk to you insurance agent about whether or not they would cover the procedure for medical purposes if you had the proper documentation, because some insurance providers simply don't cover that procedure for whatever the reason.
Next, discuss the problem with your doctor. Once you both come to the conclusion that this surgery would indeed be helpful to you medically and would improve your life, get your doctor to confer with your insurance company somehow (via phone or fax or whatever is required by your insurance company). If your regular doctor does not think that the procedure is necessary and you still do think it is, get a second opinion.
I had my plastic surgeon write a letter to the insurance company telling them why my breast reduction was medically necessary. Like you, I was having back and shoulder pain. Luckily, the insurance company didn't give me a problem once the surgeon wrote the letter. Good luck.