Question:
Attention anyone who has BC/BS Federal Government-Wide Insurance

Anyone with this insurance had a tummy tuck and/or breast augmentation approved with this insurance? I'm 5 months post op and am interested in starting the process. I'd love to be approved for work on both problem areas. Any suggestions?    — Annie H. (posted on March 29, 2002)

March 29, 2002
annie i have the same insurance. in order to get a tummy tuck & breast reduction it must be medically necessary & not cosmetic. do u have rashes or yeast infections under ur apron & breasts? take pics of them. go to the dr & get prescription meds for them & have the dr write out the prescription with the reason u need them. eg: rub cream on rash under breasts & in skin folds of stomach. do u have backaches? these can be caused by overly sagging breasts. get pain meds & again have the dr write the purpose on the script. eg: take 1 pill every 4 hours for back pain. make sure he notes in ur records the exact details of ur visits. eg: itchy, odorous rash in groin area under stomach. backaches caused by heavy sagging breasts. also u need to take pictures of ur apron. slip ur hands under ur apron & on top of ur legs. dont lift ur apron. take pics at different angles to show the size of ur apron. all of this will be ur documentation to verify the medical necessity of the surgeries & ur plastic surgeon should use it all as proof when he submits his request for surgery. good luck!
   — sheryl titone

March 29, 2002
I had a tummy tuck that was paid for. I documented yeast infections, back pain, hip pain and it was covered. My PS did everything via email and I was approved in 2 weeks. In may I have a consult for legs/thighs/hips..Rita in Vermont
   — vt_rita

March 29, 2002
YES.....I have BC/BS FEP, and I am scheduled for my abdominoplasty in late May....the Plastic Surgeon had to deem in medically necessary (not cosmetic), and submit pictures and letters of medical necessity to Blue Cross.
   — Cathy J.

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