Community Support Helps NJ Patient Overcome Insurance Denial for Breast Reconstruction

New Jersey Plastic Surgeon Highlights Insurance Coverage Challenges After Community Rallies to Help Patient May 30, 2025 -- In a recent video posted on social media, Dr. Alexis Parcells, a plastic surgeon based in New Jersey, detailed the struggle of a breast reconstruction patient whose insurance initially denied coverage for the procedure. The patient, whose identity was not disclosed for privacy reasons, required the surgery due to advanced breast disease. "We asked insurance to cover the cost of her partial mastectomy, which they covered," Dr. Parcells explained in the video, "but they would not cover the reconstruction." The initial denial prompted Dr. Parcells to reach out to her social media community. The response was overwhelming. "I had people write formal appeals," Dr. Parcells shared, "and other surgeons reached out within my state, which was really helpful." This community support, combined with the efforts of Dr. Parcells and her team, ultimately led to a successful appeal and overturned the initial denial. The patient was able to have the reconstruction surgery. However, she had to pay out-of-pocket for the procedure until the appeal was successful. Dr. Parcells emphasized the importance of community support in navigating healthcare challenges. She added, "I think sometimes it's easy for women to pin each other against each other, but we're all stronger together." The story highlights the complexities of the healthcare system and the crucial role of community support in ensuring access to necessary medical care. The successful resolution of the patient's case offers a positive message of hope and resilience within the healthcare system. Dr. Parcells’ use of social media to mobilize support showcases the power of online communities to effect positive change, and the importance of clear communication and advocacy within the healthcare system.