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Does Bcbs Pays For Cosmetic Sx?



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I have BCBS and the policy says you must be a minimum of 18 months post op. Your weight must be stable for 6 months. You must have medical issues making the removal "necessary' date='" ie skin infections, rashes, etc. I think the BCBS paperwork says it must be not curable with regular hygiene.[/quote']

Yes Cigna too

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I already know I'm gonna have the "mothers apron" no matter how much I work out.. I am 4 weeks out an still on purée food.. I know I am going to have to have the tummy flab removed just hoping I can get my insurance to cover it..

What is mothers apron?

Sent from my iPad using RNYTalk / surgery date March 5, 2013

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What is mothers apron?

Sent from my iPad using RNYTalk / surgery date March 5' date=' 2013[/quote']

It is that pouch of flabby skin under your belly ... It hides your private area..Lol.. on some people it hangs to mid thigh area...it looks like an apron so I assume that's why its called the "mothers apron"

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My BCBS sent me a letter prior to surgery that said, while we approved you for bariatric surgery you should know in advance that we will not cover any cosmetic surgery resulting from subsequent weight loss. It made me laugh, but I won't always have that insurance :)

HW 344, DOS 320, Surgery Date 2/20/13, CW 297.5 Sent from my iPad using RNYTalk

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I was lucky enough that my Tummy Tuck was covered and I have BCBS of Mass. It was a long process as it had to be deemed medically necessary, but I got it done back on March 15.

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I was lucky enough that my Tummy Tuck was covered and I have BCBS of Mass. It was a long process as it had to be deemed medically necessary, but I got it done back on March 15.

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I'm down 47 lbs and already having dashes and skin breakdown. I'm going to have them start documenting right away.

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Oh me too. I am 8 months out, so surgery isn't even an option for another 10 months...I am creating a paper trail for these issues immediately.

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My BCBS sent me a letter prior to surgery that said, while we approved you for bariatric surgery you should know in advance that we will not cover any cosmetic surgery resulting from subsequent weight loss. It made me laugh, but I won't always have that insurance :)

HW 344, DOS 320, Surgery Date 2/20/13, CW 297.5 Sent from my iPad using RNYTalk

That sucks!

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I'm so looking forward to next year 2014

2014 is my year... I'm getting a make over from head to toe. I'm going to be a completely different woman LMBO watch out might get kid nap & lock in the closet by my still hubby

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My BCBS sent me a letter prior to surgery that said, while we approved you for bariatric surgery you should know in advance that we will not cover any cosmetic surgery resulting from subsequent weight loss. It made me laugh, but I won't always have that insurance :)

HW 344, DOS 320, Surgery Date 2/20/13, CW 297.5 Sent from my iPad using RNYTalk

Me too! I thought I was the only one :) It is right there in black and white. I may still get plastic surgery one day on my own dime...or I may wait until my hubby or me gets a different job with different health coverage!

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I haven't even had surgery yet and my husband and I are saving every spare penny for a Tummy Tuck and my arms. It is sad it's easier to get your boobs done than the mothers apron after surgery.

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I had lost the weight myself and had a Tummy Tuck. Unfortunately I gained most the weight back :( Anyway, BCBS will pay for a tummy tuck automatically if you lose over 100 pounds. That was true for me, BCBS Western NY.

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You need to have failed conservative methods and having pics and documentation will def help...I work for bcbs of pa and de and still will have to go the same route everyone else does , I have to wait until 18 months out before its even considered .

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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.
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      1. LeighaTR

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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.
      · 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💪
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