I have been trying to find out from medicare if they will pay for cosmetic surgery after wls and have found no info. Does anyone know what their policies are?

This might help:

http://www.medicare.gov/coverage/cosmetic-surgery.html

I have been trying to find out from medicare if they will pay for cosmetic surgery after wls and have found no info. Does anyone know what their policies are?

I'm noticing no one actually tells you what will qualify you to get cosmetic with medicare. I'm also a medicare recipient, I actually have HIP for my primary right now. Pending divorce I will be strictly medicare. So hoping for lots of rashes and enuf extra skin where I already see problem's (arms, thighs, stomache, butt...my breast are small but I already get the occasional fungus underneath from sagging, so hopeful) I know they require a lot of problems before they will pay. I have no funds, sooo. Now we gotta hope for bad stuff to happen.

Edited December 8, 201312 yr by endure8

I have been trying to find out from medicare if they will pay for cosmetic surgery after wls and have found no info. Does anyone know what their policies are?

I'm noticing no one actually tells you what will qualify you to get cosmetic with medicare. I'm also a medicare recipient, I actually have HIP for my primary right now. Pending divorce I will be strictly medicare. So hoping for lots of rashes and enuf extra skin where I already see problem's (arms, thighs, stomache, butt...my breast are small but I already get the occasional fungus underneath from sagging, so hopeful) I know they require a lot of problems before they will pay. I have no funds, sooo. Now we gotta hope for bad stuff to happen.

I had my plastics consult this morning. My surgeon said Medicare will not consider it medically necessary, regardless of rashes and infections, unless the skin hangs below the pubic bone, which is pretty low. Mine doesn't hang quite that low, so I have to pay out of pocket. My procedure will cost $9500 total, including the surgeon cost, the hospital cost, and the anesthesia costs. I will have to go home the same day though. :/

That was my insurance too. Rashes etc didn't matter if pannus didn't hang below the pubic bone. Mine didnt