Highmark BCBS of PA

[Thepersianone 0]

Has anybody used this insurance to pay for their plastic? I have it but I’m not sure where to start. Do I just go see a plastic surgeon to get the documentation to qualify me for surgical procedure or pcp?!

Please help

[frust8 962]

Remember BCBS are insurance people, they plan to economize and keep that budget low. And they are never keen to pay out. Do you have a statement from your Bariatric Surgeon,telling them your health will be adversely affected if you don't have plastic surgery? If you don't have that as a starting point you might as well go outside and howl at the moon because that greyhound ain't going to run! Praying that things will go your way, BCBS is just praying you just go away. And that's the way that mop flops!

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[Mattymatt 491]

11 minutes ago, frust8 said:

Remember BCBS are insurance people, they plan to economize and keep that budget low. And they are never keen to pay out. Do you have a statement from your Bariatric Surgeon,telling them your health will be adversely affected if you don't have plastic surgery? If you don't have that as a starting point you might as well go outside and howl at the moon because that greyhound ain't going to run! Praying that things will go your way, BCBS is just praying you just go away. And that's the way that mop flops!

Sent from my VS880PP using BariatricPal mobile app

This highlights the entire problem with healthcare in America. Healthcare and capitalism don't mix - they never did and they never will.

[Keira Fae 67]

same thing for Canada really, the bariatric surgeon might say you need some skin removal for your health but that's really the minimal work to remove the flab because it might get infected and what not

[Down South Aussie 65]

We were told if there is any hope of insurance paying for Excess skin removal you have to document document document, as already suggested a note from your bariatric surgeon saying you need it for health reasons, a note from your PCP outlining any health issues such as rashes and infections as a result of the excess skin are all going to help your cause. Make sure that any irregularity with your excess skin is noted within your medical file, not just notes written by yourself. Then hope and pray, as frust8 said their job is to find out reasons they shouldn't have to pay for this. Your job is to convince the insurance company that it is more profitable for them to pay this small amount of money now rather than paying for years of minor medical procedures, Dr visits and medications, much the same way you needed to with the bariatric surgery in the first place.