UPDATE:
2day i got the letter from the Gigna health care They gave me a long letter on why they dont want to cover me...this is what i got
Because:
The documentation sudmitted does not confirm that you have post pubertal onset gyn That has persisted for one year;
The documentation does not confirm that you have grade two three or four
Gyn as defined by the american society of plastic surgeons classification system'
it is not confirmed that your gyn is associated with persistent breast pain despide the use of analgesics
But they also say this later on in letter wich im having trouble understanding
The terms of the members benefit plan do not require advance approval for the requested service/procedure. We are providing this voluntary predertermination of coverage as a courtesy.This voluntary predetermination of coverage decision is not a treatment decision.a medical consulation or a claim denial.If the requested service/procedure is provided a claim may be submitted and we will make a coverage voluntary predetermination of coverage decision.If the claim is subsequently denied in whole or in part you will have the opportunity to appeal the decision at that time.Details on the appeal process will be provided in the claim determintion notice
SO ya i dont understand that relaly
plz tell me what u think
