Excess Skin & Medicaid
Then again I have been told the will pay for panni removal if you can document medically that you have rashes, infections etc due to the hanging panni.
If you find out otherwise please post it as i'm sure a lot of us would love to get it done. I have a huge amount of hanging skin but i was 450 lbs for over twenty years. So I didn't really expect it to shrink up, tho I don't have as much as I expected.
All I can say is have you PCP document every time you have a rash....you take pix everytime you have a rash.....evbery med or cream used, document...... my approval process was easy due to all the documentation....it only took 3 days!
Starting weight 301 Current weight 127
No Matter How I May Change, I Will Still Be ME!!!!
I had both Medicare Advantage Plan through AARP and Medicaid approval for skin reduction from my thighs. It was *not* a lift, simply removal of excess skin. They *will not* pay for lifts unless medically necessary.
Excision will most likely be approved if it's causing problems, like infection, rashes and skin erosion. I was getting cellulitis infections every other month once I lost weight (257 pounds). It got so bad that the last round had to use two different antibiotics to knock it down, which meant it was getting to be antibiotic resistant. I had documentation from my doctor and myself. Make sure you have a good detailed letter written. In my case, my doctor had me to draft a letter, she reworked it and added dates of treatment for the infections and sent it in with her documentation.
Choose your words carefully. Excision, which involves no cosmetic lifting, just removal of skin, is most likely to be approved, especially if it is contributing to or causing other health issues.
I've heard of some WLS patients who lucked out and got a surgeon who threw in the lift part just because. Not likely, but worth hoping for. Just don't get depressed if it doesn't happen.
My upper body, arms and breasts, will be on me, since they are not currently causing any medical issues. Some surgeons also have an age limit for certain procedures.
If you're worried about just the sagging skin. You're out of luck.
BUT, if you end up having fungal infections, yeast.. rashes..then they'll pay 100% for it. But you MUST, MUST document your infections.. taking pictures.. going to the doctor everytime. That's the only way they'll pay.