Paid By Insurance

[joteddie 19]

Has anyone been able to get a lower body lift paid for by their insurance. Would you be willing to share how you made the request and the reasons why it was a medical nessity and not cosmetic. Thank you.

[Jason In Houston 93]

I wasn't able to get a lower body lift approved. However, my bariatric surgeon was able to get approval for arms, chest, panni, and thigh lift on the first submission. Neither my surgeon or I expected it would be approved.

I'm having a full Tummy Tuck in addition to the panni, chest and arms next month, and then legs later this year. The back half of the lower body lift will be next year, most likely.

Edited March 17, 2017 by Jason In Houston

[nurse247 74]

Wow how did they do that?? I do review for these kinds of requests at a health plan and am floored! How did they do it?

[joteddie 19]

So Nurse247, what kinds of conditions have to exist for aporoval?

[nurse247 74]

Usually documented pain and infections which impede regular bodily function

[nurse247 74]

But in my years of managed care I've never seen brachioplastys approved or lower body lifts. I have seen Pannis approved though. It's very rare.

[joteddie 19]

Thank you.

[nurse247 74]

Most the time you can google your insurance criteria for procedures. That would probably give you a better idea. But most the time they consider it cosmetic.

[joteddie 19]

I appreciate your advise.

[Stella S 612]

My insurance did not cover it. N chance It is expensive. An extended TT is a little less

[mikala3672 10]

My insurance will cover my sleeve surgery and if I can have skin surgery in the same year then my out of pocket cost would be $2,000 for everything. I am hoping I can get both in the same year but I am still in the pre-op stage.

[NugiGo 0]

No, insurance in my country doesn't cover plastic surgeries, unfortunately.

[terryjones 16]

I was approved by my insurance for code 15830 + code 15847 and a thigh lift I'm so thankful that it got approved!

[joteddie 19]

What reason did you give that got the approval for you. Thank you.

[terryjones 16]

Hello joteddie I had my gastric sleeve in 2013 lost 80 lbs and have maintained pretty good probably gained about 10 lbs back due to back surgery and not able to be active.....I have in the past two year document and gone to doctor for severe cases of rashes I didn't think I would get approved and was surprised [emoji15] when I received my approval letter in the mail last week. I'm hoping to loose the 10lbs I've gained before I have the surgery in December. Good luck to you