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More than I expected!

TheRealMeIsHere!

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TheRealMeIsHere!    863

TheRealMeIsHere!
Posted

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!!

jingerjeanne, ProudGrammy, kbg29520 and 3 others reacted to this

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marfar7    1,528

marfar7
Posted

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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linda305    173

linda305
Posted

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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Flup    48

Flup
Posted

This is awesome news!!

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TheRealMeIsHere!    863

TheRealMeIsHere!
Posted

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

I have Blue Cross Mediblue Select through Medicare

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TheRealMeIsHere!    863

TheRealMeIsHere!
Posted

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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BenisaMartim4    369

BenisaMartim4
Posted

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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PGee    318

PGee
Posted

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

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FRED1977    186

FRED1977
Posted

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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TheRealMeIsHere!    863

TheRealMeIsHere!
Posted

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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SuzyB    182

SuzyB
Posted

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

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TheRealMeIsHere!    863

TheRealMeIsHere!
Posted

39 days to go!!!

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sohio44811    17

sohio44811
Posted

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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TheRealMeIsHere!    863

TheRealMeIsHere!
Posted

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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Go To Topic Listing Weight Loss Surgery Success Stories

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