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Does Bcbs Pays For Cosmetic Sx?

Hi everyone,

I'm 6 month post sx, I had lost 100lbs want to lose 30lbs more. Starting wt was 270lbs CW 170lbs, and I been wonder about cosmetic sx. I know is to early to star thinking about it but I'm anxious about the possibility of getting a tummy tuck, a breast lift and a possible butt lift, so my ? Is have one of you been approved by BCBS for any cosmetic surgery? And if so what they pay and how you got it approve?

Regards

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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

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"

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

  • 2 months later...

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.

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.

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

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.

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!

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

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!

  • 3 weeks later...

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.

  • 1 month later...

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.

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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