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

    • 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.
    • Onedayatatime365

      Looking to connect with others who are also on the journey of better health. Post-Op Gastric Sleeve (4/11/24).
      · 0 replies
      1. This update has no replies.
    • jparadigm

      Happy Wednesday!
       
      I hope everyone is having a lovely week so far! 
      It's been a bit of a struggle this last week...I'm hungry ALL the time.
      · 1 reply
      1. BlondePatriotInCDA

        Have a great Wednesday too! Sorry you're hungry all the time, I'm pretty much the same..and I'm sick of eating the same food all the time.

    • ChunkCat

      Well, tomorrow I go in for an impromptu hiatal hernia repair after ending up in the ER over the weekend because I couldn't get food down and water was moving at a trickle... I've been having these symptoms on and off for a few weeks but Sunday was the worst by far and came with chest pain and trouble breathing. The ER PA thinks it is just esophagitis and that the surgeon and radiologist are wrong. But the bariatric surgeon swears it is a hernia, possibly a sliding one based on my symptoms. So he fit me into his schedule this week to repair it! I hope he's right and this sorts it out. He's going to do a scope afterwards to be sure there is nothing wrong with the esophagus. Here's hoping it all goes well!!
      · 3 replies
      1. AmberFL

        omgsh!! Hope all goes well!! Keeping you in my thoughts!

      2. gracesmommy2

        Hope you’re doing well!

      3. NickelChip

        I hope it goes well! Sending positive thoughts for a speedy recovery!

    • jparadigm

      Hello lovlies!
      Today is a beautiful day in west Michigan! I hope you all have a beautiful Tuesday and rest of your week!! 🤗
      · 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

    ×