Plastic surgery (Kaiser So Calif)

Has anyone had a tummy tuck (I know they don't call it that) and had it covered under the insurance with kaiser in so cal. I also want a breast lift. I was ok'ed for the breast reduction and lift 2 years ago, but was told I was to heavy for surgery. Well I have lost the weight and I want to have both done. I haven't lost all the weight yet but just want to start getting my ducks in order. Thanks

I have Kaiser (No. Calif) and from what I've been told they do not cover any skin removal surgery after WLS  UNLESS you have documented cases of infection in the folds.   I don't know if SoCal is different, but you can call Member Services and they can tell you if they cover it.  Good Luck and I hope you get it... seems like if they have already ok'ed the breast reduction they could just do it all at one time.

I read a thread the other day about a law in CA about plastic surgery after WLS being considered reconstructive surgery and not cosmetic and that it has to be covered.  I am in the process of finding out more about that because I need major work done...actually have pain and bruises with work outs due to the extra skin flapping on my arms, thighs and abd.  I also have Kaiser (NoCal) and really am interested on what they will cover when all is said and done.  I will post more when I find out.

I am going to a panneculectomy class today (I'm in the Fontana area). I had breast reduction surgery 6 1/2 weeks ago and it's such a life changer!!! Hopefully I'll find out some good info this afternoon :)

Hello how long after your class did u get scheduled for your panniculectomy? My class is dec 7

To the OP, my program had a lot of Kaiser patients and tummy tucks were always discussed as being covered but they would say you'd have to have to at least show a rash under there.

Regarding breasts, I am VERY interested in this. Are breast reductions/lifts are usually covered too? Do they HAVE to be reductions too? This is TMI but I've always had very large breasts (like, to an extreme) and I don't really have an interest in reducing them persay, but when this is all said and done I know they are going to be very crazy looking and need a lift. So can you get a lift without a reduction or do you have to get both?

OK, I just got home from the plastic surgery class and a couple of points that might be of interest are:

1. Your BMI needs to be 30 or less. The lower the BMI, the better results.
2. They typically would like for you to be at least 16 - 18 months post op from bariatric surgery and stable in your weight for a few months.
3. You must have a recurring rash, yeast infection and/or skin breakdown and your stomach must be large enough to cover over the "privates".
4. No smokers.

These are the big points that were emphesized and hopefully this helps!

Good luck,

Thanks Jean..