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

How to get a boob job through your insurance after WLS?



Recommended Posts

I know skin removal can possibly be covered through your insurance after WLS. Has anybody been able to get a boob job done after WLS and have the insurance pay for it, and if so what did you have to do in order to do it?

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

We submitted to insurance with documents of rashes and skin breakdown and it still wasn't covered. They had very strict requirements--for breasts you had to be removing a certain amount of weight (in grams). For the pannus it had to pass the pubic bone.

Everyone's plan is different. Some have specific exclusions for skin removal, some have explicit requirements like mine, some just want documentation of physical limitations/issues/complications. Check with your policy to find out what they require!

Sent from my iPhone using the BariatricPal App

Share this post


Link to post
Share on other sites

Everyone's plan is different. Mine states that I had to have had a complete mastectomy in order to get coverage.

So far, nothing has been covered and my pannus reached my pubic bone.

39 days and counting......

Share this post


Link to post
Share on other sites

I wanted to have a reduction... not because i have deflated boob, but because i didn't lose any boobs and now im a 34H with a size 4-6 bottom...

My insurance denied two tries.....

But it all depends on your insurance and coverage plan.

Good luck

Share this post


Link to post
Share on other sites

It's usually very difficult to get insurance to cover most post weight loss skin surgeries. I've heard of panniculectomy's being covered, usually only after many documentations of infections and rashes, and sometimes brachioplasty's. I've never heard breast surgery being covered.

Insurances pretty much suck.

Share this post


Link to post
Share on other sites

My insurance didn't cover anything. It didn't cover my sleeve surgery and it doesn't cover any plastic surgery besides mastectomy. Makes me mad. I'm saving them thousands of dollars because I no longer have the health issues I had before but they won't cover anything even after I've reached and maintained at my goal weight.

I suggest you start saving or make sure your credit is good enough to finance the procedure. I went to Mexico for my sleeve and it was $4,500. I stayed local for my Tummy Tuck and breast lift and it was $8,400.

HW 290+/SW 261/GW 160/CW 159

Share this post


Link to post
Share on other sites

my insurance two jobs ago covered the band.... but no Boobs. last job... nothing and this job, im not sure ill have to look into it. but im sure it doesn't.

I would recommend you start having your doctor document any and everything like Babbs said, hardly any covers boobs. All depends on your plans coverage.

I had to pay for my TT out of pocket 8800..

Share this post


Link to post
Share on other sites

I have a very extensive family history of cancer and I'm BRACA positive so I plan to have them removed and replaced. The insurance covers 100% because of that. They wouldn't cover it otherwise. I'm having wls so that I can not only feel and look better but so that the mastectomy and recon go smoothly.

Were you able to find a doctor in Mexico?

Share this post


Link to post
Share on other sites

My insurance paid for breast lift and panniculectomy. I don't know what the doctors office said. They just said it was approved. I didn't ask any questions lol. This was after seeing about 7+ plastic surgeons. Their office wouldn't submit it or they flat out didn't take the insurance

Share this post


Link to post
Share on other sites

I have a very extensive family history of cancer and I'm BRACA positive so I plan to have them removed and replaced. The insurance covers 100% because of that. They wouldn't cover it otherwise. I'm having wls so that I can not only feel and look better but so that the mastectomy and recon go smoothly.

Were you able to find a doctor in Mexico?

Hey, I'm BRACA1 positive also, I got tested after my mom passed from breast cancer when I was 17. Insurance will cover the mastectomy and the complete rebuild?? If so that's exciting news! Lol

Sent from my VS985 4G using the BariatricPal App

Share this post


Link to post
Share on other sites

My insurance paid for breast lift and panniculectomy. I don't know what the doctors office said. They just said it was approved. I didn't ask any questions lol. This was after seeing about 7+ plastic surgeons. Their office wouldn't submit it or they flat out didn't take the insurance

Can you find out what was said to get the breast lift approved by insurance and enlighten the rest of us PLEASE?

Sent from my SM-G935P using the BariatricPal App

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

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 2 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • 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

    ×