Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Tummy-tuck included (Medicaid)



Recommended Posts

I am meeting with the surgeon pre-op on Monday. I need to explore the correct keywords to use in conversation. The goal is to have him understand to send away for insurance authorization for a Tummy Tuck to be included in the initial surgery. I need to explain it as a medical necessity. It is. Having given birth several times, I struggle with fighting rashes and infections every summer. I cannot even fathom how much worse it would get with the weight loss post-op. Thank you.

Share this post


Link to post
Share on other sites

You want a Tummy Tuck at the same time as the bypass?

Share this post


Link to post
Share on other sites

Medicaid might pay for the partial abdominoplasty, under certain conditions. But they won't pay for a Tummy Tuck. Basically they may remove the skin, but wont pay to have the muscles moved up and 'tucked'. also, you have to have lost over 100 pounds in addition to the recurrant infections. At least, this is what I have learned in the researchI've done for my mom.

Good luck.

Share this post


Link to post
Share on other sites

All insurances have different criteria (if they will pay for it at all). Some also require a certain time period following weight loss that your weight must be stable before considering skin removal. I think mine is three months but some insurances may require a longer maintenance. Mine also requires medical documentation of skin rashes/infections. Now that I'm in the maintenance phase of WLS I'll have to photograph every rash and see my doctor each time it happens to prove a problem exists before my insurance will approve it. I've had a problem with rashes every year since my first pregnancy stretched my skin beyond it's ability to bounce back (I had full-term twins). That was 28 years ago. I'm just waiting on the hot weather for them to appear again...

Share this post


Link to post
Share on other sites

Wow, that's very helpful. I'll begin to focus on documenting, rather than 'splainin' till I am blue in the face. Thank you so much.

Share this post


Link to post
Share on other sites

It's unlikely that they'd do a tuck at the same time as the bypass since there would be little point. I also doubt you could get the authorization until they can assess just how much it hangs. You never know what you body is going to look like.

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

    • Sunshine Princess

      I just had a teaspoon of hummus with a teaspoon of avocado topped with a teaspoon of greek yogurt and it. was. GLORIOUS. I'm four days out and my surgeon gave me the greenlight to work in small amounts of pureed food. 
      · 0 replies
      1. This update has no replies.
    • lizardskelter

      done
      · 0 replies
      1. This update has no replies.
    • heyitsdilly

      I've officially surpassed 80lbs of weight loss! Working on that 100lbs!
      · 1 reply
      1. acopas

        Way to go!

    • Songbyrd420

      Kind of nervous, as expected. One month out from surgery!
      · 0 replies
      1. This update has no replies.
    • lauren.g

      😫 Hi, I’m new to bariatricpal! I am 8 days post op VSG. I am struggling very badly. I’ve been so emotional because I feel like I’m doing wrong. I’m afraid I’ll eat or drink to fast or eat the wrong thing. I’ve been on Pinterest and YouTube constantly for help. I have followed all of my surgeons and dieticians instructions. I just don’t know if my body is getting enough. Today, I am weak, sore, and just exhausted. 
      · 2 replies
      1. Tara A

        It passes!! Everyone goes though it! It is a short term emotion! I'm almost five years post op! You made the right decision! Don't focus on the change right now. Try to entertain your mind. What your feeling only last about a week. It's related to your body adjusting and you mind adjusting. You got this!!

      2. SleeverSk

        I agree with Tara it's hard right now but it gets better do t forget your hormones will be all over the place you may even feel depressed. Be kind to yourself reach out and talk to people how you are feeling .

  • 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

    ×