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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!!

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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!

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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?

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This is awesome news!!

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

I have Blue Cross Mediblue Select through Medicare

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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.

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

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

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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 .

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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?

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

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39 days to go!!!

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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"?

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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.

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
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