Has Anyone Had Aetna Pay For A Panniculectomy?

Margaret W.
on 1/19/09 9:14 am - TX
I asked Dr Stewart's office and their reply was that they've only ever seen insurance pay for plastic surgery ONCE.

If insurance companies typically do not help with this in any way, what is the ballpark price for plastic surgery?
nurse4lyph
on 1/19/09 10:36 am
this is Aetna's CPB for coverage:

http://www.aetna.com/cpb/medical/data/200_299/0211.html

Aetna considers panniculectomy medically necessary according to the following criteria:

  1. Panniculus hangs below the level of the pubis; and
  2. The medical records document that the panniculus causes chronic intertrigo (dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing) that consistently recurs over 3 months while receiving appropriate medical therapy, or remains refractory to appropriate medical therapy over a period of 3 months.



sisnraf
on 1/19/09 11:56 am - Clayton, OK
Not sure I hope so I am going to need one I am afraid. I would be interested in some prices also. I would like a TT and my girls "perked up" HEHE


        I AM a  BIG FAT LOSER! & a ONELANDER!!
                  sw280/cw172/My gw180/DR. gw165   

 

 

 

                      I AM a  BIG FAT LOSER!               

 

                          

 

 

Big Al
on 1/19/09 12:25 pm - Northbrook, IL
Aetna paid for mine, although I had to pay to get the rest of a LBL.  They did reject my first try.
Duodenal Switch with Dr. John Rabkin 12/01/2005.
Over 200 pounds lost.
Reconstructive surgery (LBL and lipo) with Dr. Lawrence Zachary 9/19/2008.

Al   


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