How to get a boob job through your insurance after WLS?

[_bribri1001 62]

I know skin removal can possibly be covered through your insurance after WLS. Has anybody been able to get a boob job done after WLS and have the insurance pay for it, and if so what did you have to do in order to do it?

Sent from my iPhone using the BariatricPal App

[jess9395 5,448]

We submitted to insurance with documents of rashes and skin breakdown and it still wasn't covered. They had very strict requirements--for breasts you had to be removing a certain amount of weight (in grams). For the pannus it had to pass the pubic bone.

Everyone's plan is different. Some have specific exclusions for skin removal, some have explicit requirements like mine, some just want documentation of physical limitations/issues/complications. Check with your policy to find out what they require!

Sent from my iPhone using the BariatricPal App

[Djmohr 6,965]

Everyone's plan is different. Mine states that I had to have had a complete mastectomy in order to get coverage.

So far, nothing has been covered and my pannus reached my pubic bone.

39 days and counting......

[BayougirlMrsS 3,933]

I wanted to have a reduction... not because i have deflated boob, but because i didn't lose any boobs and now im a 34H with a size 4-6 bottom...

My insurance denied two tries.....

But it all depends on your insurance and coverage plan.

Good luck

[Babbs 14,680]

It's usually very difficult to get insurance to cover most post weight loss skin surgeries. I've heard of panniculectomy's being covered, usually only after many documentations of infections and rashes, and sometimes brachioplasty's. I've never heard breast surgery being covered.

Insurances pretty much suck.

[KristenVSG2014 1,871]

My insurance didn't cover anything. It didn't cover my sleeve surgery and it doesn't cover any plastic surgery besides mastectomy. Makes me mad. I'm saving them thousands of dollars because I no longer have the health issues I had before but they won't cover anything even after I've reached and maintained at my goal weight.

I suggest you start saving or make sure your credit is good enough to finance the procedure. I went to Mexico for my sleeve and it was $4,500. I stayed local for my Tummy Tuck and breast lift and it was $8,400.

HW 290+/SW 261/GW 160/CW 159

[BayougirlMrsS 3,933]

my insurance two jobs ago covered the band.... but no Boobs. last job... nothing and this job, im not sure ill have to look into it. but im sure it doesn't.

I would recommend you start having your doctor document any and everything like Babbs said, hardly any covers boobs. All depends on your plans coverage.

I had to pay for my TT out of pocket 8800..

[transmformme 26]

I have a very extensive family history of cancer and I'm BRACA positive so I plan to have them removed and replaced. The insurance covers 100% because of that. They wouldn't cover it otherwise. I'm having wls so that I can not only feel and look better but so that the mastectomy and recon go smoothly.

Were you able to find a doctor in Mexico?

[goddess04 45]

My insurance paid for breast lift and panniculectomy. I don't know what the doctors office said. They just said it was approved. I didn't ask any questions lol. This was after seeing about 7+ plastic surgeons. Their office wouldn't submit it or they flat out didn't take the insurance

[katlzxdcj 23]

I have a very extensive family history of cancer and I'm BRACA positive so I plan to have them removed and replaced. The insurance covers 100% because of that. They wouldn't cover it otherwise. I'm having wls so that I can not only feel and look better but so that the mastectomy and recon go smoothly.

Were you able to find a doctor in Mexico?

Hey, I'm BRACA1 positive also, I got tested after my mom passed from breast cancer when I was 17. Insurance will cover the mastectomy and the complete rebuild?? If so that's exciting news! Lol

Sent from my VS985 4G using the BariatricPal App

[ladygg1967 171]

My insurance paid for breast lift and panniculectomy. I don't know what the doctors office said. They just said it was approved. I didn't ask any questions lol. This was after seeing about 7+ plastic surgeons. Their office wouldn't submit it or they flat out didn't take the insurance

Can you find out what was said to get the breast lift approved by insurance and enlighten the rest of us PLEASE?

Sent from my SM-G935P using the BariatricPal App