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Leg lift approval

Momogoodies

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Momogoodies    10

Momogoodies
Posted

Hi

Ihave had a very successful vertical sleeve I am 3 1/2 years post. I have applied for coverage for excess skin and legs. The Dr.says they never cover legs but I have to try it is my biggest problem area. I hope they can at least take care of my. belly.

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Berry78    4,259

Berry78
Posted

Congrats on hitting goal! Good luck with the insurance company!

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Smores    56

Smores
Posted

What are the reasons they will cover the stomach? I'm getting surgery in July ( I pray ) and I know my tummy will sag. Is there a medical reason for the surgery?

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Momogoodies    10

Momogoodies
Posted

Hi,

After having my vertical sleeve I lost 65 it left me with excess skin on my tummy and legs. Which is causing irritation and infections. In some instances insurance will cover removal. Unfortunately my thighs are my problem which is considered cosmetic even though there is chaffing

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Angie65    7

Angie65
Posted

I have the lap band and lost 215lbs. My insurance company did pay for my Tummy Tuck. My surgeon took pictures of my extra skin. They removed 9lbs of skin. Now I just need my arms and legs done. Lol

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Angie65    7

Angie65
Posted

Good luck tomorrow 👍🏼

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Stella S    612

Stella S
Posted

Are you looking into inner thigh, outer or a spiral type procedure?


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Momogoodies    10

Momogoodies
Posted (edited)

Hi,

I am looking toward any procedure that will help, my tone is good and by lifting my skin myself it takes care of the problem. My is that argument is that my leg condition is affects my ability to be intimate. In a world where Viagra, any other aids are available for men's sexual issues is covered, why is it that with this issue patients due to excess skin is labeled as cosmetic. I also found out that I have a bulging disk, which is now affected due the change in my gate when I am chaffed. I encourage all of you facing these issues to challenge your insurance companies get documentation by anyone you can. Perhaps we can become a voice for change. I wish we could band together to get help, maybe one day.

Edited by Momogoodies
text errors
thisisthenewme, Dashofpixiedust8, lillian.b.white and 1 other reacted to this

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Go To Topic Listing Plastic & Reconstructive Surgery

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    • KeeWee

      KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
      1. This update has no replies.
    • Aunty Mamo

      Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
      1. This update has no replies.

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