Aetna approval!!
I just got my breast reduction approved after five months with Aetna. They originally denied it in March. I submitted an appeal. They denied the appeal. I submitted a second appeal. It was denied. The next step was an outside evaluation and appeal. I submitted all my documents and I just found out I was approved!! After 5 months!!
I did not meet the gram threshold, but I showed documentation that I had been to the chiropractor, physical therapist, tried cream for my rashes, better bras, massage and had constant back pain. I have my chiropractor write me a letter as well as my physical therapist, and everything was documented by my surgeon in my chart. It was such a long process, but I am so happy I did not give up. Please feel free to PM me any questions that you have and I’m happy to help. The document I sent over for the last appeal were 30 pages. I sent every single piece of information I could.