RNHealthyAC84
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RNHealthyAC84 reacted to TheRealMeIsHere! in Post weight loss surgery loose skin l, plastic surgery needed
Begin by going to your insurance website, search "criteria for panniculectomy" & "criteria for abdominoplasty" and print it for the doc.
Then, if you have pain, rashes etc....caused by the skin, go to pain management or another doc, NOT a PS, get a referral from that doc to PS for surgery. Bring the insurance criteria.
It can also be helpful to write your own letter to go with the PA request. Mention co-morbidities that are resolved, how exercise is crucial to maintenance and keeping co-morbidities gone, how the skin affects those things.
Best of luck!
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RNHealthyAC84 reacted to catwoman7 in Post weight loss surgery loose skin l, plastic surgery needed
like the above poster said, some policies will cover it - or part of it - if you have documented medical issues with the loose skin, like chronic rashes. So see your doctor whenever you have these kinds of issues so you have a paper trail.
outside of this, it's very difficult to get insurance coverage for plastic surgery since it's considered cosmetic (and elective).
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RNHealthyAC84 reacted to Orchids&Dragons in Post weight loss surgery loose skin l, plastic surgery needed
There are certain things that some insurance carriers will cover. For instance, if you have skin folds that get rashes in them. This would need to be treated and documented by a doctor. Also, if you have hernias, the insurance might pay for the hernia repair and you might pay for the skin removal done at the same time. But, it is all dependent on your particular situation and your insurance carrier.