Let's Talk Plastic's and Insurance/Medicare!

[joyann1968 0]

Ok, My Hubby's insurance company didn't cover my WLS because it is excluded from their plan and I am pretty sure plastics is to, but I have Medicare and they paid for my WLS and I have been going to my PCP for months every month to get her to document about my rashes and stuff. Do you think Medicare will pay for my plastics since they paid for my surgery?

My boobs are sagging down to my belly button.... lol and one of my boobs has always been a lot smaller than the other one, if I get a breast lift, will they fix it so they both will be the same size? This is what concerns me about a breast lift. The difference in size is noticable.

At what weight did you get plasctics done? Did you lose all your weight first?

HW 505 lbs

SW 411 lbs

CW 252 lbs

Joyce

[Icantbelieveit 955]

I think they might not do tge breasts, but the tummy flap and arms if you have very detailed documented rashes.

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[Read2016 658]

Take all the pictures you can... My guess is if the doctor writes it correctly you will get it... The doctor may have to be willing to fight for you... Start documenting all the ways the extra skin is hindering your activities of daily living, can't tie your shoe etc....

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[TheRealMeIsHere! 863]

Insurance does not cover anything other than a panniculectomy and in some cases a Tummy Tuck. I too, have Medicare and was lucky enough to get fully covered for a panni/TT.

I helped that the referral came from pain management due to a painful, progressive spine disease. I also included a letter from me stating the weight lost, co-morbidities that were resolved, how I am already limited on exercise options and how the skin was limiting me further, plus how exercise is crucial for maintanence.

Best of luck to you!!