Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

I am approved by insurance for a Tummy Tuck, Lipo and panniculectomy!!! I NEVER in a million years expected insurance would approve, even the nurse at the dr.'s office was surprised! And....it was approved the FIRST time!! I at least thought I would have to appeal. I think it helped that I got a referral from my pain management dr, due to the back/neck issues. Plus, I wrote about how many medical problems are resolved, since the weight loss and how important exercise is in keeping it off. Also put that I am limited in my exercise options, due to other problems, and riding the recumbant bike, is pretty much my only option now, but....the pannis sits on top of my thighs making THAT difficult. SOOOOO, the stars aligned and the request landed on the right person's desk and I am approved!! Also thought that would only approve panniculectomy, but....approval has codes for lipo AND TT!! WOOHOO!!! SOOO excited!!

Share this post


Link to post
Share on other sites

Wow! Congrats! I wish my insurance paid for my TT and Lipo. My apron isn't big enuf to cause any medical problems however. And the lipo is just for show, I guess. I got an estimate from a cosmetic surgeon about 9 mths ago when I was about 25 lbs from goal (now I'm 26 lbs again from goal, have lost 18 lbs since my band to sleeve revision) and she estimated: $6,500 for the TT, $2500 for the under the chin lip (I have a blob of fat that never goes away), and $4000 for back fat lip. If I get 2 in the same day (she won't do all 3), I can get 50% off the cheaper one. I can't even dream of the day when I'll have that kind of money...

Good luck and again, congrats!

Share this post


Link to post
Share on other sites

I am approved by insurance for a Tummy tuck' date=' Lipo and panniculectomy!!! I NEVER in a million years expected insurance would approve, even the nurse at the dr.'s office was surprised! And....it was approved the FIRST time!! I at least thought I would have to appeal. I think it helped that I got a referral from my pain management dr, due to the back/neck issues. Plus, I wrote about how many medical problems are resolved, since the weight loss and how important exercise is in keeping it off. Also put that I am limited in my exercise options, due to other problems, and riding the recumbant bike, is pretty much my only option now, but....the pannis sits on top of my thighs making THAT difficult. SOOOOO, the stars aligned and the request landed on the right person's desk and I am approved!! Also thought that would only approve panniculectomy, but....approval has codes for lipo AND TT!! WOOHOO!!! SOOO excited!![/quote']

Congrats. But can i ask what type of insurance you have?

Share this post


Link to post
Share on other sites

This is awesome news!!

Share this post


Link to post
Share on other sites

Congrats. But can i ask what type of insurance you have?

I have Blue Cross Mediblue Select through Medicare

Share this post


Link to post
Share on other sites

Today I will get a call, letting me know when I can do this!! Will definitely document all, and pics. This way others will know what to expect.

Share this post


Link to post
Share on other sites

Congrats! I am still waiting on mine. The insurance company is dragging their feet (as usual.) It has been close to 3 months.

Share this post


Link to post
Share on other sites

So happy for you, this is great news!!!! Good luck!

Share this post


Link to post
Share on other sites

Wow! Congrats! I wish my insurance paid for my TT and Lipo. My apron isn't big enuf to cause any medical problems however. And the lipo is just for show, I guess. I got an estimate from a cosmetic surgeon about 9 mths ago when I was about 25 lbs from goal (now I'm 26 lbs again from goal, have lost 18 lbs since my band to sleeve revision) and she estimated: $6,500 for the TT, $2500 for the under the chin lip (I have a blob of fat that never goes away), and $4000 for back fat lip. If I get 2 in the same day (she won't do all 3), I can get 50% off the cheaper one. I can't even dream of the day when I'll have that kind of money...

Good luck and again, congrats!

Tell me about it,all that money could buy a car. I'm still a long ways off from needing surgery for lipo, tt, and etc but I 'm sure I will never have enough money saved in a million years .

Share this post


Link to post
Share on other sites

Congrats! I am still waiting on mine. The insurance company is dragging their feet (as usual.) It has been close to 3 months.

maybe give them a call. They should've let you know one way or the other within 6 weeks. Maybe the dr. didn't submit yet?

Share this post


Link to post
Share on other sites

That is awesome your insurance is covering all that. Good Luck

Share this post


Link to post
Share on other sites

39 days to go!!!

Share this post


Link to post
Share on other sites

I am approved by insurance for a Tummy tuck' date=' Lipo and panniculectomy!!! I NEVER in a million years expected insurance would approve, even the nurse at the dr.'s office was surprised! And....it was approved the FIRST time!! I at least thought I would have to appeal. I think it helped that I got a referral from my pain management dr, due to the back/neck issues. Plus, I wrote about how many medical problems are resolved, since the weight loss and how important exercise is in keeping it off. Also put that I am limited in my exercise options, due to other problems, and riding the recumbant bike, is pretty much my only option now, but....the pannis sits on top of my thighs making THAT difficult. SOOOOO, the stars aligned and the request landed on the right person's desk and I am approved!! Also thought that would only approve panniculectomy, but....approval has codes for lipo AND TT!! WOOHOO!!! SOOO excited!![/quote']

Kudos to you!!! What is your insurance?? How far out from your surgery are you? Was there a certain amount of time that must pass before you have an even remote chance of consideration ex: Have you proven you are successful at "keeping" it off"?

Share this post


Link to post
Share on other sites

Kudos to you!!! What is your insurance?? How far out from your surgery are you? Was there a certain amount of time that must pass before you have an even remote chance of consideration ex: Have you proven you are successful at "keeping" it off"?

Blue cross Mediblue Select. Had to be 18 months post-op (I am 19 months, and normal BMI since Dec, 2012) and have 3 months at a normal BMI.

If you go to your ins. website, you can search for criteria for panniculectomy, as all are different.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×