Excess Skin & Medicaid

on 9/11/10 6:22 pm - Austin, TX
RNY on 12/02/10 with
I was just wondering has anyone actually been approved with medicaid to have the excess skin removed and if so how hard was it to get approved?  I cant stop thinking about the skin thats going to be left after RNY.  I know its not something i can prevent from happening but I just wanna know if its actually possible for my insurance to approve the removal .  thanks
HW389 SW367 CW273 GW180 
1lb lost is 1 step closer to your g
oal !!
on 9/11/10 7:27 pm - freeport, TX
My understanding is that they will not. That they consider it cosmetic surgery and they will not pay for it at all.

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.

Met my first goal, met my second goal, met my surgeons goal. Now I have a new goal!
on 9/11/10 8:47 pm
don't know about excess skin...i am wondering that too (already have bad rashes). but, i do know they will pay for a redux. i was waiting until after i lost weight to get em reduced n lifted though.

Slowly and surely, I am learning.

on 9/12/10 6:58 am - Towanda, PA
I know PA medicaid will pay for panni removal if it is medically necessary.  other than that have not heard of any other they will pay for.

Yvonne.    To thine own self be true.     hw 432/ sw 352/ cw196.8/gw 200  RNY 8/11/10 Corsettrunkplasty & thigh lipo 5/16/2012.


on 9/12/10 7:01 am - Church Hill, MD
I live in MD & I just had a tummy tuck, breast lift, and thight lift....all medically necessary due to severe skin issues....all documented.....and all paid for by medical assistance.
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!
Good luck!

Starting weight 301 Current weight 127

No Matter How I May Change, I Will Still Be ME!!!!

on 9/12/10 9:42 am - Charlottesville, VA
I'm in Virginia and also have Medicaid. I'm also a Certified Professional Coder - Biller..

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.