Insurance & Skin removal
I have BCBSTX and they will pay for a pannilectomy IF it's medically necessary. That means I have to keep records, with pictures, of any/all rashes, infections, etc. and they also have to be documented by my PCP. I'll also need copies of any prescriptions filled to treat these rashes and infections.
It's funny...or sad....that we spend years doing everything we can to avoid getting these rashes and problems from folds of skin rubbing together and in order to correct the problem that's causing them, we have to intentionally allow the rashes and infections to occur just to prove we need the skin removed! There's just something wrong with that picture!!!
It's funny...or sad....that we spend years doing everything we can to avoid getting these rashes and problems from folds of skin rubbing together and in order to correct the problem that's causing them, we have to intentionally allow the rashes and infections to occur just to prove we need the skin removed! There's just something wrong with that picture!!!
I agree! I think it is ridiculous that it has to come to that for insurance to pay for it. I was told I had to wait for 6 months worth of skin rashes before thyey will pay for it. I had gastric bypass in April of this year and my surgeon wants to do the pannectomy he was hoping in October, but I have to wait! Its stupid!
Usually a panniculectomy is ALL insurance will pay for, if anyting, (and that includes ONLY the skin below the belly button... it does nothing for extra skin ABOVE the belly button). Sometimes poeple are able to get a full tummy tuck covered as well, but that's usually only if there is a hernia that requires repair.
The arms, thighs, upper abdomen, etc. are almost never covered. (Several of us with lots of extra skin in the arm pits and rash and other issues (e.g., infection after nicking during shaving) have attempted to get at least PART of the brachioplasty covered with no success.
Lora
The arms, thighs, upper abdomen, etc. are almost never covered. (Several of us with lots of extra skin in the arm pits and rash and other issues (e.g., infection after nicking during shaving) have attempted to get at least PART of the brachioplasty covered with no success.
Lora
14 years out; 190 pounds lost, 165 pound loss maintained
You don't drown by falling in the water. You drown by staying there.
My insurance (HMO Blue) paid for my panniculectomy without any rashes. I went the extra to have my belly button moved and then all the excess abdominal skin was removed (above and below the belly button). My belly button was sewn back in after the skin was pulled down so I still have it :)
Martha
Martha
High 250/Consult Weight 245/Surgery 205/Now 109
Height 5'4.5" BMI 18.4
In maintenance since June 2009
a panni removal usually is just removing the extra apron of skin that goes from below the belly button. The "extra" is a full tummy tuck where they actually loosen up the skin above the belly botton and pull that down and reposition the belly button. They also tighten the stomach muscles at the same time.