Just wondering if anyone had this insurance cover panniculectomy? And what the criteria were.

Don't remember who my insurance company was.

I have a lot of painful, orthopedic issues, so began at pain management.

On the insurance's site, I searched for 'criteria for a panniculectomy/TT'

Took that to pain management who referred me to a plastic surgeon. When he wrote the referral, he touched on the criteria they were looking for.

Plastic surgeon took pics & wrote why she saw the necessity. Along with those 2 referrals & pics, I sent a letter detailing how much weight I'd lost, the comorbidities that were now gone, my physical issues and limits to workout options they caused, how exercise is crucial to maintaining and how the hanging skin impeded me further.

In a few days? maybe a week? TT/Paniculectomy were covered! Was POSITIVE I was reading it wrong, had to be a mistake. Sent it to my PS & sis, yep, covered!!!

DEFINITELY wanted the TT along with the panni, pics online of just panni, showed flat stomach below belly button, then a shelf of stomach above! I'm sure it depends on the doc, but I was THRILLED to get BOTH!

best of luck!