I have scheduled a consultation for a panniculectomy. I am hoping that my insurance will cover it by deeming it medically necessary, but the one big hiccup I am seeing is that I do not run to the doctor every time I have a rash or a yeast infection in my belly button, I tend to take care of it on my own so I may not qualify. My insurance goes on to say they will deem it medically necessary if it would be adjunct to another necessary procedure for improved surgical access or healing, thinking I will visit the gyno at the same time and see if I can get a bladder lift or hysterectomy.

Maybe you could start heading to the doctors office, or at least call them, so you could start creating a history?

I have the same issue with my insurance. I'm just going to keep detailed documentation and pictures of any rashes or sores, and document along when I saw a doctor. It takes a little bit of work, but well worth it if you can get your insurance to cover it for you!

For me, it only takes a phone call for my NP to record that I have a rash. I've all ready been prescribed the ointment. I've been told this will suffuce for the justification for insurance (which covers it).

I don't think you have to actually go to the dr. Worth checking in to :-)

Different insurances have different requirements. Mine required a certain number of inches overhang past the pubic bone. Mine didn't hang that far so no matter what rashes I documented they wouldn't cover it.

My surgeon said to take pictures to document rashes. Just an idea.

Hi, has anyone on medicare and extra help had plastics done? Non cosmetic? Rashes due to friction and using Rx soap and ointment/cream> TY

I took lots of pictures and they deems it medical necessary after being turned down.