Insurance Question

blessme11
on 12/6/11 1:12 am
RNY on 10/11/11 with
Hello ,

Just a quick question on if anyone on here has there plastic surgery's approved , like Tummy Tuck ? I just had my revision from lap band to  RNY done on 10/11/11 , and a c-section before that ... so my tummy has taken a toll.. and wanted to know if you can get approved by insurance due to weight loss for a Tummy Tuck ... My breast reduction will be done because it was approved before surgery due to the back /neck pain ... But really want my tummy done , and a little inner thigh... Any info would be great ! Thanks
Laura in Texas
on 12/6/11 2:13 am
Some people do get it approved. You'll need to check with your insurance company. It varies greatly from company to company.

Good luck to you!!

Laura

Laura in Texas

53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)

RNY: 09-17-08 Dr. Garth Davis

brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco

"May your choices reflect your hopes and not your fears."

blessme11
on 12/6/11 3:00 am
RNY on 10/11/11 with
Thanks , will keep this in mind , and fingers crossed ...
(deactivated member)
on 12/6/11 2:52 am
I had an extended tummy tuck done 3 months ago and I have BCBS and they covered everything except 800.00.  I had to have documents from my primary doctor stating that I had yeast infections/rash caused from the ugly hanging skin, and that the creams were not working. 
blessme11
on 12/6/11 3:01 am
RNY on 10/11/11 with
Thanks , this is good news ... I have BCBS of Texas .... so hopefully I will have the same outcome ...
MikeyMike
on 12/6/11 7:19 pm - New York, NY
You would need to read your policy. I checked Cigna's and they specifically state weight loss surgery alone is not a reason for panni removal. They will only cover it (don't remember the specifics) if you have documented skin rash issues over a certain period of time and your skin hangs several inches below your pubic area. There's also a couple of other criteria. They make it very difficult if you can meet those they will pay. I wasn't able to meet them and paid out of pocket.  


   Highest Weight: 380                      Consult Weight: 357             Surgery Weight: 309 
Goal Weight: 220 (9/29/10)      Revised Goal Range 215-220         Current Weight: 224
Plastics: Circumferential Lower Body Lift - 11/18/2011
              Gynecomastia - 6/14/2012

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