Question:
Insurance/ plastic surgery. can you have a different insurance pay for a tummy tuck

I was wondering if you had RNY wls , and you were under , hoom lets say bcbc insurance during the time of the wls. and you switch jobs and receive amerit health ins. and you need to get a tummy tuck or get the access skin removed . will your new job insurance cover the skin removal or tummy tuck    — yvettetas (posted on April 9, 2008)

April 9, 2008
It is almost impossible to get insurance to pay for the Tummy Tuck or the Excess Skin Removal.
   — jannmyers

April 9, 2008
It depends what your insurance criteria is. Call them and ask what the criteria is for a tummy tuck or skin removal. Most insurance companies do not cover this surgery unless it's medically necessary. My insurance company your skin has to hang a certain level below the panculuas area, I have to have a skin infection or limitations of daily life, I have to have maintained these infections for over three months, and I have to me 18 mths out from gastric bypass. So there is a lot of criteria and even then they might say no.
   — tl_morgan

April 9, 2008
The answer is yes...but it is very hard to do. I would take photos (ya I know embarrassing) and start to get letters for doctors documenting the need to have it done. "Apron" removal (the extra skin) is common in folks who lose a lot of weight. Yes it has to interfere with normal life, cause health issues...Good luck
   — chell1957

April 11, 2008
I had to pay for my own.... Just make sure you check out the surgeon and that he is Board Certified Plastic Surgeon.
   — niecie54

April 11, 2008
I had my RNY in 2003 under United Health Care (in FL). I am now covered under Anthem BC/BS (in OH). It doesn't matter if your WLS and your PS are under different insurance companies, although each has their own criteria of "medically necessary". My PS submitted documentation for TT and I will find out next week sometime. My current health insurance has no specific verbage (as in how far the pannus must hang, etc), only that it is deemed "medically necessary".
   — katwig

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