BCBS Coverage of Excess Skin Removal

rhody
on 4/8/10 8:48 am - Warwick, RI
I have Blue Cross Blue Shield of New England.  They are an amazing insurance company and are paying for my Gastric Bypass which is scheduled in the next 4 weeks.

I'm over 400lbs but only have stretch marks on my stomach area. I'm going to do everything thing I can to prevent having too much excess skin but I'm nervous that there is nothing I can do to prevent it.

Has anyone out there gotten Plastic Surgery for Excess Skin Removal covered by BCBS?  Was it a huge fight or an easy process?
(deactivated member)
on 4/8/10 9:09 am
I have BCBS PPO of New Jersey and they paid for my tt.  My surgeon submitted pictures of my breast and belly with no documentation of rashes or anything.  They approved the tt, but denied me for the breast lift.

Good luck!'

Sherline
rhody
on 4/8/10 4:49 pm - Warwick, RI
Thank you that's hopeful
ncredibleeswyt
on 9/17/13 9:51 am - NY
Who was your surgeon?
Dawn the Twinsmom
on 4/8/10 9:36 am - Worcester, MA
HAVE BCBS MA. i JUST GOT MY TT APPROVED BY MY INSURANCE, AND I AM ALSO SUBMITTED FOR THIGH LIFT TOO.... WE WILL WAIT AND SEE.

When we are motivated by goals that have deep meaning, by dreams that need completion, by pure love that needs expressing, then we truly live life.

Johanna !
on 4/8/10 10:35 am - Formerly known as jdcRI, RI
I have BCBS Empire out of NY but I am in RI - it is a PPO... What conditions (if any) did they document?  How low does your pannus hang?  Mine is not very low...
Johanna - like Joe-on-uh, or that movie, Juwanna Man!  


 

        
rhody
on 4/8/10 4:50 pm - Warwick, RI
What do you mean by Pannus?
TeganAngel
on 6/30/13 12:27 am - Smokerise (30 minutes north on I-65 from Bham), AL

If you can look in the mirror naked and NOT see  your vagina/rash/back problems documents they will cover it. Email me if you want more information.

Angel Hugs Love Kim AKA... Tegan Angel 

happypeach
on 6/30/13 7:41 am - Rome, GA

I am 4 years post op and would love to have plastic surgery; however, my State of Georgia insurance will not cover it?  Any suggestions??



303163

Starting:  370, Current: 198.5, Goal: 190

                                                
  
                                              


    
  
TeganAngel
on 6/30/13 8:08 pm - Smokerise (30 minutes north on I-65 from Bham), AL

Are you having back problems ... skin breakdown and/or can look in the mirror naked and NOT see your private at all?  BTW... You can email me.  Kim1964@outlook.com

Angel Hugs Love Kim AKA... Tegan Angel 

rhody
on 4/8/10 4:50 pm - Warwick, RI
That's great!  Thanks for sharing
RhondaRoo
on 4/13/10 2:23 pm - OH
Hey, I have BCBS MA too. Did you submit info on your own, or did you have the surgeon do it?

Do tell, as I'm looking to have surgery done in September.

RhondaRoo 256/235.5/131.8/120.0
Never, Never, Never Give Up  --Winston Churchill
    
Dawn the Twinsmom
on 4/14/10 5:28 am - Worcester, MA

I first went to my PCP, and told her that I kept having rashes under my panni, that I was having back pain caused by it hanging, and it kept me from exercising to my fullest potential. I needed her to write a letter of medical necessity, and she did

Then I went to my cosmetic surgeon, and with that letter, and he submitted it witl his letter of medical necessity, and sent it off with the most embarrasing pictures ever taken of me, and was easily approved. I am currently awaiting approval of thigh lift, and I hope it goes through as easily ad the panni did.

Dawn

When we are motivated by goals that have deep meaning, by dreams that need completion, by pure love that needs expressing, then we truly live life.

K. L
on 3/22/13 7:44 am
RNY on 08/20/12

Dawn, what type of information did you need to submit for the tt approval? Did they pay the whole thing? Where are you getting it done? I've gotten some pretty high price quotes in MA!

kidneedonor
on 4/8/10 2:03 pm
RNY on 09/09/08 with
BC&BS of Ma  paid for my GBS and my tummy tuck  they actually covered the panni removal and i opted for full anchor tummytuck for $3500 additional and worth every penny  I am almost 5 months post op from tummy tuck  BC&BS of Mass is amazing.. I had no problems  no denial  approval on first submission... BC&BS OF MASS ACHUSETTS ROCK !
BEST WISHES IN YOUR JOURNEY...  LOOKING FORWARD TO FOLLOWING YOU

NATALIE





Starting Wgt 238  Goal Wgt 145  Current Wgt 133
RNY 09/09/08 by Dr. Kruger
Full anchor TT on November 27, 2009 by Dr. Laurence Rheingold
Breast Reduction and Breast Lift May 24, 2010 by Dr. Laurence Rheingold




                                                                                               www.myspace.com/kidneedonor        
rhody
on 4/8/10 4:51 pm - Warwick, RI
Panni?

So you paid $3,500 out of pocket for the anchor?  What's the difference? I'm knew to all this stuff
jenn70
on 4/8/10 4:16 pm
I have BCBS of Illinois and just got my denial letter Monday for panni. I do see where  a lot of people get theirs covered.
Good luck!
Jenn
rhody
on 4/8/10 4:52 pm - Warwick, RI
Thanks

not_quite_Barbie
on 4/9/10 4:42 am
Rhodi,
The pannus is the lowre part of the belly skin that hangs down after you lose the weight. Most insurance companies will pay por the removal of the pannus if it gets in the way of walking, or you develop a rash underneath that doesn't respond to treatment. They will only pay for the removal of the skin that hangs, between the belly button and the pubis. This surgery is called a panni.

Most of us need more than just a pannie, we need a full tummy tuck (TT). In a TT the surgeon tunnels under the skin all the way up to the breastbone and pulls it all down and removes more skin than the panni. He will also suture together muscles that have become separated by the fat. The insurance copmpany will typically NOT pay for this part, the patient has to pay the difference.
rhody
on 4/9/10 5:58 am - Warwick, RI
thank you for the detailed response.