I can not believe I'm starting a thread on here but I had a major development today and it looks like I'm a go for a TT!

So, as I've said in other posts my insurance DOES cover skin removal after WLS (my band was also covered) but documentation of rashes and skin break down is needed to prove Medical Necessity. I have no rashes or break down so I knew approval would be slim to none but went ahead and scheduled a consult for today anyway......... (dawn did nothing)

Also, I was browsing my insurance website (the one I can log into and look at my claims and such) and I see a link on there for Deep Discounts with affilate partners...... things like discounts on Lasik, Jenny Craige, etc... and Plastic Surgery is one of them....... so I clicked on the link which took me to a form. The short of it is this place works directly with PS and offer discounts because they handle the appointments, surgery dates and financing all in house......... anyway..... she was rattling off prices and finance terms when we finally got to the address of the doc she would be setting me up with..... and low and behold it is the same practice I was scheduled at today! Not the same doc, but the same group. If I went today I would be offered no discount, and have a tiny chance insurance would cover..... or if I go next week under their appointment and agreement, I would be offered the discount and financing... so I said what the hell, run my credit and see if I'm approved.. she did and I am! (barely) but I am.........so my consult is NEXT week, and I will find out then when my surgery is and sign the finance agreement.

SO OMG I am freaking out! This TT looks to be coming to fruition!

I will tell you that when all is said and done, my monthly payments were quoted to being $217.00 a month for EVER! LOL... seriously though I wasn't listening closely because I really thought I wouldn't be approved.

I am scared of going in and telling my boss that I need time off work.... I will be sooooo disappointed if this all falls through, but right now I'm riding the Happy Train!

and what better motivation to drink my dang water and shed this water weight!:crying:

Edited September 25, 200817 yr by TracyinKS

Thanks Renob!

Tracy: If it's one thing I've learned, you need/must put yourself first. My DH didn't want me to get the lapband, my first ps or the one coming up. Change is hard for some people. I am married to a wonderful man who loves me, but he worries about the possible dangers of surgery (he is a veterinary surgeon), doesn't like to see me in pain and thinks I look fine. Who can complain about that? However, he is happy that I have lost weight, he likes my tt and new breasts and I'm sure he'll like my arms, butt and thighs! Sometimes, you've just got to follow your own drummer and eventually, everyone will understand your song!

My hubby says the same thing, he loves me as I am and doesn't want me to have the TT. But understands and supports my need to have it. This is probably the 2nd thing I have put my foot down on for myself. 1st was lap band surgery. I just want it to hurry up and get over with. I hate operating rooms they scare me, I'm ok as long as they give me something before get in there. But to have to lay there and listen and see everything while they are getting ready, Nope been there done that not for me.

Good morning future flatbellies! (except Karey who is already there) I did good drinking my water and sticking to the best day of eating I've had in MONTHS ... not looking forward to getting on the docs scale and having him tell me I'm still to fat! LOL Do you guys know how much recovery time will be needed if I add a breast lift?

A breast lift won't add much recovery time. You'd before healed from the breast lift before the TT. When I had it, I barely noticed it at all. There is some swelling, but it really wasn't that painful, really a piece of cake!

oh man I'm watching Biggest Loser trying to stay out of the kitchen!

I stayed strong with my eating yesterday.. going for day 3.. and Friday is looming ever near

scale was back down to 176 today.....

WISH ME LUCK TOMORROW!!!!! I'll be back to post the news good or bad

DEPRESSING .......... I had a good consult but when it came to the money I felt they were doing the bait and switch... $217.00 a month turned into $367 a month.. I got pretty irate and told them to stop.. I had the date set and the scheduler was calling the hospital setting it up.... I was totally destroyed pissed sad to come so far and to hit this wall. I guess thats what they do... bank on people being excited and saying go ahead lets do it.

So anyway I met hubby for lunch and he said that if it was THAT important to me, we'd find a way............ so the journey is not over just stalled a bit.

What WOULD of been on the table was and extended TT, breast reduction/lift and augmentation (on the top)........

Has anyone managed to get the insurance to pay for any plastic/reconstructive surgery?

my policy does cover it, but you have to prove medical necessity, and when I talked to the Nurse reviewer at BCBS, she said I needed

1. pictures

2. pictures of rashes

3. pictures of skin break down

4. receipts from prescriptions for said rashes and breakdown

5. letters from docs (all involved who've seen said rashes and breakdown)

and it would be skin removal only, no muscle tightening......

I DID TRY THE DAWN DISHSOAP recipe and it didn't even work on my belly so I just said screw it and had hoped to go this route.....

I'm sorry Tracy, but glad to hear your hubby is being open minded and willing to work with you. It totally sucks that they changed the plan so much. I'm not surprised, but it really does suck. $150 a month more is a HUGE difference. I would highly encourage you to have the breast lift at the same time. Everywhere I've seen and read folks that have only had one procedure REALLY wished they'd done both. Folks I've known that only have procedure have said the same thing.

Keep at it.... it will work out!!!

Ahh shucks Tracy, I'm sorry to hear this. But things happen for a reason, I had 4 consults before I decided on this Dr and then I had another consult with his just to be sure. don't let this get you to down, You've done an amazing job and look beautiful, And this is just a minor setback!!!

Have you had any other consults?

Thanks Cora and Shalee.... I'm going to set up a consult with the doc that my friend used. (she had an RNY about 4 years ago) she had a tt and lift at the same time. The upside he is much more economical, but he is 2 hours away from me. I was sooo upset Friday, but I'm better now. I'll keep you all posted

I will be keeping my finers crossed for you Tracy. And my PS is about 2 1/2 hrs away. Sometimes we have to drive a little distance to get the best Dr for us.