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Insurance help
Hello everyone, I don't post very often but I do check up on you all every day! I have a problem with my insurance co - Health Net of Ca - they are denying revisions to my reconstruction surgery, saying it is cosmetic and not medically necessary. Can anyone here help? I had bilateral (one side delayed, the other prophylactic) DIEP recon in June 06, with revisions in Nov 06. Before it can be finished up with tattoos, I need some more revisions: lift of proph side, nipple revision, scar revisions etc. They first denied the whole thing, now today they said they will cover revisions to my cancer side as it is directly related to my dx, but not my other side as it is cosmetic. Arrrggghhhh! Any lawyers out there? I wouldn't be doing ANY of this if it wasn't for my cancer dx, don't they get that??? Very frustrated here. Thanks in advance for any help.
Jen
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Jen
DX 10/04 IDC Grade 3
ER/PR-, Her2+++
4/20+ Lymph nodes
Stage 3a
Age 38, CA
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