Nanette - they cannot do that!  You must go through a plastic surgeon, only a PS can put in implants and perform reconstruction surgery - it is NOT up to the hospital.  Go through your surgeon and you PS will get approval from your insurance company - they are the ones who decide and approve procedures NOT the hospital.  Talk with your insurance company and ask them why this hospital is denying the procedure, because legally they cannot.  Someone is not giving you accurate info and my bet is on the hospital.  You need  to take charge and go directly through your insurance and push this along.  They CANNOT do this to you.  Remember, do not deal with the hospital, just your insurance.  Talk to someone in charge, find someone on the plan, and follow your benefits.  Actually if you look at your policy coverage it will spell out what is and isn't covered for your plan, then factor in the federal act for women who have had mastectomies which explains what services they must offer.  Talk with your insurance and let me know, ok.  I'm sure they will straighten this out.  Till then be calm cause being upset does not help matters, ok! Take care! Angi