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Waiting On Panni Presert With Insurance



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Waiting on reconstruction of mons/ pani approval. So my information was sent to insurance company a month ago and they keep asking for more information and we send it in. Last of it sent off today. Called they have recived it and sending it for another dr to decide if its medically needed. Finally made it to the next step. My insurance was different then most. They tell you nothing about how to qualify. You just have to send in pictures and drs recomendation and they decide with that. I did send in a list of meds that I had used over the counter. I had been to one dr dermotoligst but betime he seen me rash was almost gone. He called me in something. Then my plastics wrote a letter saying why it was medically needed. I have had bladder problems in the past he feels that were from all the extra skin in both areas. I didn't send any other information in guess I will do that if they decline it. So what have some of you went through to get a pani approved? Shew this wait process is no fun at all. We get all excited and don't know what the outcome will be until they send us a letter approved or dennied. Im still going to have it if they don't pay but will have to wait awhile longer if thats the case. Thanks for listening and any advice would be appreciated.

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Have u found out what the criteria is for your insurance to cover the surgery. I saw on google yesterday some of the insurance companies listing their requirements so might be an idea to research it a bit more if u have to appeal their decision. Take photo's when its sore and inflamed, be prepared for a battle with them, if they approve u have lost nothing but time, if they dont u armed for a fight already :)

good luck !

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I was office manager for a Plastic Surgeon for a while, I had to write auth letters/send pics all the time. She would take a hairbrush and irritate the patients skin before taking pictures so the irritation looked much worse than it really was, but thats what it took to get approved.

I'm sure that I will need a Panni when I lose my weight, but I'm still kinda new in the process, so I have a ways to go....I just want the scale to move FASTER!!!!

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My insurance don't give requirements its different then most. You have to send in any information you have and they will send to another Dr they have and they decide whether it's medically needed. They sent in pictures too of rash and without. I should find out in a week he did they would call me plus send out a letter to my Dr if denied or not. I will just appeal appeal if I have to. My Dr said my rash was OK since you can't get to do right away when you get it. I had took pictures of my rash to Dr said we wouldn't need those. Thanks for your advice guys

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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