Okay, so, I have my consultation appointment on the 26th of August for removal of the pannus and some accessory breast tissue (believe it or not, I hate that stupid breast tissue more than my stomach/loose skin)

My insurance will cover both of these procedures (BC/BS Horizon NJ) at 100% with a letter of pre determination. I know I'm in for another fight, but hey, I got them to approve my lapband, right?

Does anyone have any words of wisdom as far as paperwork submittal to the insurance company that I can use? I'd really appreciate the help!

-A

:thumbup:

Angelica - I am in the same place you are at. I am fighting my insurance. They say they will pay (80%) with pre-cretification. That is the same thing they told me when I started the process for the band. Then when I started the process they wanted alot of stuff to determine if I was eligible. I did win in the end. So I guess with my history with them I am gearing up for another fight.

I have went to my doctor and she documented my rash and prescribed me medication. She has faxed a precertification to my insurance recommending that I have a Abdominoplasty/Panniculectomy. I have also went to my chiropractor and had them document my lower back problems and how it effects my movement. I am waiting to hear before I make an appointment with the PS.

Like you I am just starting. GOOD LUCK

Laura