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Wanna see what was removed?

Jerrie Ann

By Jerrie Ann, in Plastic & Reconstructive Surgery

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Mary23    17

Mary23
Posted

My insurance is Tricare (Hubby was Military for 25 years)' date=' so their rules are most likely different.

I recommend you have your surgeon take pics of the rashes the skin gives you. Photographic evidence does help!

I am nearing week 4 since my surgery. I cannot lift anything heavier than (lol) my purse (basically 5 pounds), but I can drive (automatic transmission only) as long as I feel up to it. I also am not allowed to bend over. Right now, I am unemployed, so my focus has been healing.

I began wearing regular clothes again after all my drains were removed. Because of the binder, I am only wearing loose clothing. I wore loose dresses for about two weeks post op. (maxi dresses are fabulous!) I already know I am down a size, but because of the binder and how tender my tummy is right now, clothes shopping will have to wait!

my superpower is......[/quote']

So did tricare pay for the surgery? Please thank your husband for his service and thank u too! We did 22 years

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Jerrie Ann    57

Jerrie Ann
Posted

Yes. They paid 100% for both my RNY and my skin removal. Lots of documentation was needed though! I had to follow their rules to the letter as well! All well worth it!

my superpower is......

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Mary23    17

Mary23
Posted

Yes. They paid 100% for both my RNY and my skin removal. Lots of documentation was needed though! I had to follow their rules to the letter as well! All well worth it!

my superpower is......

Good info! They paid fot my band and rny when the band failed. Ty

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Kristi    195

Kristi
Posted

My insurance is Tricare (Hubby was Military for 25 years), so their rules are most likely different.

I recommend you have your surgeon take pics of the rashes the skin gives you. Photographic evidence does help!

I am nearing week 4 since my surgery. I cannot lift anything heavier than (lol) my purse (basically 5 pounds), but I can drive (automatic transmission only) as long as I feel up to it. I also am not allowed to bend over. Right now, I am unemployed, so my focus has been healing.

I began wearing regular clothes again after all my drains were removed. Because of the binder, I am only wearing loose clothing. I wore loose dresses for about two weeks post op. (maxi dresses are fabulous!) I already know I am down a size, but because of the binder and how tender my tummy is right now, clothes shopping will have to wait!

my superpower is......

We have tricare as well. Hubby retired after 20 years in the Army. But we have standard because we don't live anywhere close to a base.

Curious to know if the pics have to be taken by the doctor or if you can self document? I've been taking some as they go because I don't want to have to go to the doctor every time I have a rash :(

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Jerrie Ann    57

Jerrie Ann
Posted

I had my gastric surgeon do the documenting. And he's a good 2 hour drive from where I live! BUT I always seemed to have something going on with the skin on my stomach whenever I'd see him, so it was logical for me to let him just document it!

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aayers88    31

aayers88
Posted

This is all so interesting to me!

I'm 7 months out and I get rashes under my breasts (not as frequent) and rashes near my groin area due to my flab. I went to my surgeon for my 6 mo Appt and they said my pediatrician needed to document everything (I think it was because they would be the ones to prescribe ointment or whatever) my doctor said that I should wait at least 6 months when I'm not gainin or losing anymore weight. So I was thinking that I would build up a case and go to my PCP every month for the next 3-4 months and by spring I would start looking into getting my insurance to cover this whole thing. I just don't know where to begin.

You said what procedure you had - is that just the removal of the skin part? What's the different between that and a Tummy Tuck? I think if I'm getting rashes under my boobs too that could be covered too.

HW 332; CW 236; SD 02/28/2013; GW 175

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Jerrie Ann    57

Jerrie Ann
Posted

It will all depend on your insurance....what will and won't be covered.

The difference between the panniculectomy (what I had done) and a Tummy Tuck is that they only removed the loose skin. They did not touch my boobs (although I do need a new pair of those). My surgeon did not do much "tucking", but he did repair another hernia and reposition my belly button, while flattening my tummy!

My advice is document document document!

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aayers88    31

aayers88
Posted

Yeah...every insurance is different. But the other thing I'm wondering is how long did it take from the beginning of you documenting things until the time you got approved

HW 332; CW 236; SD 02/28/2013; GW 175

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Jerrie Ann    57

Jerrie Ann
Posted

My insurance required me to wait 18 months

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sassy14    178

sassy14
Posted

Hi! Did you wait 18 months after surgery or after weight loss stalled? I have had the dreaded rash in the folds of my abdomen and my dermatologist is documenting it for me. I can't wait to get rid if the hanging tummy.

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Jerrie Ann    57

Jerrie Ann
Posted

18 months after RNY. I followed what my insurance required. I had my bariatric surgeon document it all because my insurance would only approve the panniculectomy if the documentation from either him or my primary care physician.

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TinyMamiOf3kids    1,280

TinyMamiOf3kids
Posted

Is it possible that you can take a photo of how flat your tummy is now?

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Jerrie Ann    57

Jerrie Ann
Posted

I am still swollen (and will be for a while yet) from the surgery.

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nursejb    38

nursejb
Posted

I am still swollen (and will be for a while yet) from the surgery.

Hows your recovery going, even with the swelling is your stomach flat

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SoccerMomma73    1,867

SoccerMomma73
Posted

So, TMI, but can you wear normal panties and not have your gut hanging out the leg holes???? I mean, really, I don't care so much if it's totally flat, I'm tired of having to stuff it in my clothes to keep it from flapping in the wind :/

HW 312, pre-op (RNY) 255, current weight 198

skiddles and nursejb reacted to this

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Go To Topic Listing Plastic & Reconstructive Surgery

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      LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
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    • Doughgurl

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      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
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    • Alisa_S

      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. LeighaTR

        LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      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

        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

      CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.

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