Recent Posts
Topic: RE: Matrix & Nectar Protein Powder !!
Jeanna,
We'll take Fuzzy Navel if you have any left at the end of the day.....
Do you have any cookies n cream left? I wanted to try that one!
Thanks for helping us get a price break with our protein needs. You totally rock!!!
Joyce
We'll take Fuzzy Navel if you have any left at the end of the day.....
Do you have any cookies n cream left? I wanted to try that one!
Thanks for helping us get a price break with our protein needs. You totally rock!!!
Joyce
Topic: RE: Post Surgery TUMMY TUCK!?!? (Tricare Approval?!)
I have read online in a few places that Tricare is actually pretty good about approving plastic surgery after gastric bypass as long as you can prove that it is "needed" rather than just cosmetic. Like if the saggy or loose skin causes rashes or causes you to cut yourself while shaving, or even causes emotional "turmoil" (extreme self consciousness! LOL). SO... I was just wondering if ANYBODY knows how to start off the process or has Tricare and knows what to do and how to do it??? Also if anyone has any surgeon suggestions!?!?
Thanks!!!
Hiya Jaclyn!
I've been working in plastics for a few years and getting ANY insurance to cover "reconstructive" surgery is almost impossible. "If" they cover anything at all, it is almost always limited to just the panniculectamy (amputation of excess abdominal skin without any muscle work). The basic guidelines are: If while in a sitting position, your pannus (excess abdominal skini) reaches down to about your knees or if you can lift it straight out about 6 inches while standing up....and if you have documentation from a dermatologist, pcp, etc. that you have skin breakdown of some type, deeming it medically necessary....then....you may be considered. But most are denied!
The other piece is finding a surgeon who is contracted with your insurance company. Tricare is rare.
I hate to be a Debbie Downer but there are a lot of rumors in the biz.....like if you have a hernia then you get free plastic surgery or that you can donate your skin to a burn unit for free plastic surgery or that just because we have lost over 100 lbs, we are entitled to coverage for plastic surgery. Nope.
You may want to check with your military doc and see if he/she will refer you to a military plastic surgeon. I did hear that they may have some coverage and that one may be at Nellis in L.V. and at Randolph in TX?
Congrats on your weight loss!!!! Good luck with the next step! I have seen lives change and people break down in tears of joy over the results of their Post Bariatric body contouring!
As for recommendations....I no longer work for Dr. Mazaheri but "hands down", I consider him the best plastic surgeon in AZ!!! ..... I totally recommend getting at least 3 consults and make sure you're comparing apples to apples with prices. The other criteria for selection is to check the medical boards, check for lawsuits and ask around on the boards for other people's opinions on their results. Make sure the surgeon has oodles of Post Bariatric p.s. pictures to show you and that they have a specialty in working with our types of bodies (extreme excess skin). Someone can be an excellent plastic surgeon and then totally screw up with our body types.
You're in the FUN phase of the journey!!!! Enjoy!
BTW....Dr. Mazaheri's # is 480.951.4343 He may give you a discounted consultation if you tell him Joyce sent ya? LOL! Who knows....maybe he'll charge you more!
Joyce
Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
On April 18, 2010 at 8:37 PM Pacific Time, Jaclyn Teran wrote:
I need help figuring out how to FIND and basically just go about trying to get TRICARE to approve me for a tummy tuck! I have lost a total of 115 pounds since my surgery, which was in August 2008, and my tummy skin is really saggy and so is the skin on my inner thighs. I have read online in a few places that Tricare is actually pretty good about approving plastic surgery after gastric bypass as long as you can prove that it is "needed" rather than just cosmetic. Like if the saggy or loose skin causes rashes or causes you to cut yourself while shaving, or even causes emotional "turmoil" (extreme self consciousness! LOL). SO... I was just wondering if ANYBODY knows how to start off the process or has Tricare and knows what to do and how to do it??? Also if anyone has any surgeon suggestions!?!?
Thanks!!!

I've been working in plastics for a few years and getting ANY insurance to cover "reconstructive" surgery is almost impossible. "If" they cover anything at all, it is almost always limited to just the panniculectamy (amputation of excess abdominal skin without any muscle work). The basic guidelines are: If while in a sitting position, your pannus (excess abdominal skini) reaches down to about your knees or if you can lift it straight out about 6 inches while standing up....and if you have documentation from a dermatologist, pcp, etc. that you have skin breakdown of some type, deeming it medically necessary....then....you may be considered. But most are denied!
The other piece is finding a surgeon who is contracted with your insurance company. Tricare is rare.
I hate to be a Debbie Downer but there are a lot of rumors in the biz.....like if you have a hernia then you get free plastic surgery or that you can donate your skin to a burn unit for free plastic surgery or that just because we have lost over 100 lbs, we are entitled to coverage for plastic surgery. Nope.
You may want to check with your military doc and see if he/she will refer you to a military plastic surgeon. I did hear that they may have some coverage and that one may be at Nellis in L.V. and at Randolph in TX?
Congrats on your weight loss!!!! Good luck with the next step! I have seen lives change and people break down in tears of joy over the results of their Post Bariatric body contouring!
As for recommendations....I no longer work for Dr. Mazaheri but "hands down", I consider him the best plastic surgeon in AZ!!! ..... I totally recommend getting at least 3 consults and make sure you're comparing apples to apples with prices. The other criteria for selection is to check the medical boards, check for lawsuits and ask around on the boards for other people's opinions on their results. Make sure the surgeon has oodles of Post Bariatric p.s. pictures to show you and that they have a specialty in working with our types of bodies (extreme excess skin). Someone can be an excellent plastic surgeon and then totally screw up with our body types.
You're in the FUN phase of the journey!!!! Enjoy!
BTW....Dr. Mazaheri's # is 480.951.4343 He may give you a discounted consultation if you tell him Joyce sent ya? LOL! Who knows....maybe he'll charge you more!

Joyce Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
Topic: RE: Loosers Bench
Joyce
Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
High Fives Monika!!!
Congrats to you! Skinny Wishes that your Recovery is smooth sailing and that your journey is all downhill!!!
Let us know how we can support you,K?!!!!
Woooooo Hooooooo!!!!!
LOSER'S ROCK!!!
Congrats to you! Skinny Wishes that your Recovery is smooth sailing and that your journey is all downhill!!!
Let us know how we can support you,K?!!!!
Woooooo Hooooooo!!!!!
LOSER'S ROCK!!!
Joyce Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
Topic: Matrix & Nectar Protein Powder !!
Help !!
I over ordered and have some extra stock ... If your intrested email me at [email protected]
I will save you some money over the stores and online.
I have 5lb bags of Chocolate and Vanilla , I also have some 2lb tubs of strawberry Cream and Banan Cream as well as a few Fuzzy Navel.
I am in the east valley.
Help !!
I over ordered and have some extra stock ... If your intrested email me at [email protected]
I will save you some money over the stores and online.
I have 5lb bags of Chocolate and Vanilla , I also have some 2lb tubs of strawberry Cream and Banan Cream as well as a few Fuzzy Navel.
I am in the east valley.
GinaU aka Jeanna
RNY revised to Extended RNY 5/2008
Total loss 181 and counting
-
Topic: Loosers Bench
Let's welcome Monika to the loosers bench. She had her surgery this morning. All went fine and is now in recovery.
We're here for you Monika. Look forward to seeing you.
Debbie
We're here for you Monika. Look forward to seeing you.Debbie
CERTIFIED SUPPORT GROUP LEADER
SUN CITY
[email protected]
Topic: Looking for EGG FACE
Dear Egg Face,
Hello, I am a sleever who is going onto the mushy diet this Friday....I humbly am asking for your help. You are known over the WLS boards and they say you are the "go to" person for this help.
I am not a cook. I have been able to get away without cooking for 54 years. I eat out constantly. But if I am to change the girl that got her surgery April 7th...I have to learn to cook.
Can you help me with some mushy recipes to help me begin this journey? I need the help. I am thanking you in advance for any help you can provide.
You rock....thanks for being there for everyone..
Hugs Susan
Hello, I am a sleever who is going onto the mushy diet this Friday....I humbly am asking for your help. You are known over the WLS boards and they say you are the "go to" person for this help.
I am not a cook. I have been able to get away without cooking for 54 years. I eat out constantly. But if I am to change the girl that got her surgery April 7th...I have to learn to cook.
Can you help me with some mushy recipes to help me begin this journey? I need the help. I am thanking you in advance for any help you can provide.
You rock....thanks for being there for everyone..
Hugs Susan
Topic: RE: Banner Gateway
Joyce,
Thank you for your help. I haven't reached Dr. yet but I have an appt with him on Thurs so I will address it with him first! Thanks so much I will keep on trucking!
Jena
Thank you for your help. I haven't reached Dr. yet but I have an appt with him on Thurs so I will address it with him first! Thanks so much I will keep on trucking!
Jena
Topic: Post Surgery TUMMY TUCK!?!? (Tricare Approval?!)
I need help figuring out how to FIND and basically just go about trying to get TRICARE to approve me for a tummy tuck! I have lost a total of 115 pounds since my surgery, which was in August 2008, and my tummy skin is really saggy and so is the skin on my inner thighs.
I have read online in a few places that Tricare is actually pretty good about approving plastic surgery after gastric bypass as long as you can prove that it is "needed" rather than just cosmetic. Like if the saggy or loose skin causes rashes or causes you to cut yourself while shaving, or even causes emotional "turmoil" (extreme self consciousness! LOL). SO... I was just wondering if ANYBODY knows how to start off the process or has Tricare and knows what to do and how to do it??? Also if anyone has any surgeon suggestions!?!?
Thanks!!!
I have read online in a few places that Tricare is actually pretty good about approving plastic surgery after gastric bypass as long as you can prove that it is "needed" rather than just cosmetic. Like if the saggy or loose skin causes rashes or causes you to cut yourself while shaving, or even causes emotional "turmoil" (extreme self consciousness! LOL). SO... I was just wondering if ANYBODY knows how to start off the process or has Tricare and knows what to do and how to do it??? Also if anyone has any surgeon suggestions!?!?
Thanks!!!

Topic: RE: Banner Gateway
Joyce
Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com
I know their Bariatric Coordinator had some medical issues lately but I thought she was doing better. You can send your complaint directly to Dr. Podkamini, right? I doubt he'd want you or anyone else to be stressed out and worried.
I know the squeeky wheel gets the oil if the oil is available......y'know? Does your insurance require a Center of Excellence? If so, then perhaps that's the delay since i don't think they've finished up their certification yet.
There are a lot of really great surgeons around if you feel like switching but (In my opinion), Banner Gateway and Phoenix St Luke's has the best comprehensive complete program for lifetime follow-up.
How about dropping by B.G. offices on Weds around 4 before their support group begins at 4:30?
Good luck! Let us know how we can support you, K?!!! Hang in there. It's soooooo worth it!
I know the squeeky wheel gets the oil if the oil is available......y'know? Does your insurance require a Center of Excellence? If so, then perhaps that's the delay since i don't think they've finished up their certification yet.
There are a lot of really great surgeons around if you feel like switching but (In my opinion), Banner Gateway and Phoenix St Luke's has the best comprehensive complete program for lifetime follow-up.
How about dropping by B.G. offices on Weds around 4 before their support group begins at 4:30?
Good luck! Let us know how we can support you, K?!!! Hang in there. It's soooooo worth it!
Joyce Rny 2/11/03-> ERny 12/26/07-> Duodenal Switch 5/12/2010
www.dsfacts.com , www.dssurgery.com , & www.duodenalswitch.com


