Question:
insurance

Have any of you had your insurance pay for a tummy tuck and breast augmentation either separately or at the same time? Is it possible? I'd love to start the process in a few months. I'm five months post op. Please let me know.    — Annie H. (posted on March 28, 2002)

September 23, 2002
Hi, I have Horizon BCBS/HMO in NJ. My tummy tuck/hernia repair was covered with no problems. My surgeon was very specific with his coding and sent a lot of info to the insurance including pics. He said that your apron has to hang down below your vaginal area, mine did. I was approved in a week. I would also gather any info from your pcp if he has treated you for any skin infections under the roll. Send in too much info, rather than not enough. Good luck. Oh, and by the way, it is very painful, just be prepared.
   — mmercier

October 3, 2002
I just was informed today that BC/BS will cover my abdominoplasy but not the mastopexy (breast lift). They asked for documentation of non healing and/or significant funtional impairment. My PS documented the amount of pannis present (to mid-thigh) and my GYN documented needing antibiotics for recurrent abcesses in the groin. It was sufficient for them to cover. I am very pleased and scheduled for surgery in three weeks. :)
   — Susan A.

April 19, 2003
Does anyone know if Tricare Prime will cover any of the plastic surgical procedures needed after a gastric bypass????? I am in desperate need of a response. I can't seem to find anything out from Tricare.. Thanks Janis
   — Janis R.

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