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April/May plastics 08

  • Replies 37
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PS consult scheduled for 4/7/2008...

My plan covers removal of excess skin (it states it in the SPD) so I just spent 35 minutes on the phone with my insurance trying to get the "list" of criterian......... you would think it was a secret... but FINALLY I was put in touch with a Nurse reviewer in the PRECert department......

This is the list:

1. Medical Necessity must be proven

2. Pictures of Skin, Rashes, breakdown

3. If seen by a dermatologist for the rashes, then receipts from the visit.

She was nice about it and I ended up telling her about my band and my success.... my starting jean size and my current jean size...

She ended up giving me her first and last name and the exact mailing address WITH department number........

AND I've been having issues with even getting appointments with docs who will even TRY to submit it to the insurance....... dam dam dam

  • Author

Hi Tracy, my insurance will not cover anything. It is $20k out of pocket for my extended tummy tuck with lipo and my thigh lift with lipo. Julie

Tracy I'm so glad you were able to talk to your insurance co! Thats a BIG start. I also saw one of "those" doctors who didnt' even want to talk about insurance. You all read the post I made about him calling me - hmmpft! Then I go to this dr and he's all about the insurance paying for as much as possible. Go figure!

I go tomorrow for my 3rd visit with this ps. They told me they would schedule my surgery tomorrow so I'm praying for an early April date, but it sounds like it'll be late April.

Boo - are you able to take time off from school and work? I know you had the scheduling conflicts too. I dont' know why everyone can't just plan their life around us! Geesh!

Julie - it sounds like you are excited. Thats alot of money out of pocket - don't think dh would be such a dear about it. He's ok with me getting this done but he just says "you look good to me the way you are" and then the next breath "but I know you want it so if it'll make you happy then have it done"

  • Author

Tracy, thanks for the post! I am getting really excited. I've been going to the tanning salon ready for that size 14 bikini if there is a thing! Julie

I got my date May 1st at 8am. I'm a little stressed about the date but I'm going to deal with it. I'm the office manager - well I'm the ONLY office person at the club I work at so if I'm not there it doesnt' get done - April and May are still alittle slow but I do the billing on the 1st of the month - so I'll have to do them a day early - and my surgery is on Thursday which is good bc that gives me the weekend to recoup but then I have payroll that next week. I normally do it on Mondays but if I'm not feeling up to it I can push it to Wed. -

I talked with my dr about it - and they do have me as the standby if someone would cancel but she said thats highly unlikely - he said he thought a week off and then 1/2 days would be good - but it doesn't look like I'll get my whole week off. I've decided if I have to I'll go in the evenings in my jammies when no one is around.

Now on the positive side - the dr wants me to try to get to 150 before my surgery - thats just 10 lbs - I think I can do 10 lbs in a month. Maybe I'll do 20!!!!!!!!!

[quote name=StephC

Boo - are you able to take time off from school and work? I know you had the scheduling conflicts too. I dont' know why everyone can't just plan their life around us! Geesh! [/quote]

I am taking a semester off, I have no choice. Work is ok I thought I was going to be fired, but so far not! :scared2:

  • Author

I went in for my preop today and he told me he would probably take about 7-10 lbs off of my abdomen. That is amazing. He is also going to remove probably close to 1 lb per thigh. I can't wait to be down a size! He prescribed me 4 drugs. One for anxiety presurgery, Valium ( I get upset before surgery). One for antibiotic, one for pain and one for nauseau. How is everyone else coming along?

Count me in!!! Just got my approval! My appointment for scheduling is the 18th, although always before when I get on the cancellation list, it moved up, so trying that again. She said she would look over his calendar, and pencil me in pending my appointment.

I am going to Texas mid May to meet up with the Shrinking Violets----so am working around that-------but I will find a way!

Just wanted to say Yay, Yay, Yay---------count me in!!!!

Kat

Our thread is growing. Lets see if I get this right -

JulieGeraci - April 21

StephC - May 1

TMarie - May 5

Boo Boo Kitty - May 6

TracyinKS - tba

Kat - tba

Anyone else?

Edited by StephC

HI There:

I am schedule for a TT, lipo and breat aug on May 5th. I go for my pre op on april 7th. I'm excited but very nervous also. I'm 3 years out with the band and have lost as must as my body will let me and now I'm going to Dr. cheng in Danville. Please tell me your experience.

Thanks

TMarie - welcome! When you say you've lost as much as your body will let you, are you saying you're at goal? Someone said that once we get the fat taken off the belly then the rest of the body will lose faster.

So I went in for my consult on Friday and I didn't get good news. The plastic surgeon that we saw doesn't want to do the surgery because it is going to be VERY EXTENSIVE and he feels that it is too far away from home. He said to do it I would need, MR, the regular horizontal TT incision and then a vertical "T-incision" as well. He said I have NO elasticity left in my skin! He was a very good surgeon and feels that he could do the surgery, but the likelyhood of complications (separated incision, infection, seromas) would just make it too risky to do when we live 3 hours away. Plus he said that with them removing 10-15 pounds of fat the shock to the system could be too great for me to be that far away. So he refered me to some surgeons over here (we don't live in a big city AT ALL!) When I called the 4 that are here on Friday these were the results: 1 said they wouldn't do the surgery because it was too extensive, 1 didn't have a financing program, 1 said they didn't have financing BUT they would try to get it approved through insurance because of my back pain, and the other one didn't answer. The one that didn't answer does use CareCredit and I did get approved for that last night so that is an option. Also, my SIL lives an hour from the original surgeon that I saw so I have a call into him to see if he would do the surgery if we stayed with her for a month. She graciously said that would be just fine. SOOOOOO I still have options. Also with the ability to get financed through CareCredit, I can expand where I look for surgeons and have it done in WA and stay with my brother as well. My problem is that I am running out of time. I have to have the surgery done from the end of June through the first 2 weeks in July. Anytime after that I don't know that I would be ready to go back to work at the end of August.

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