Public aide???

Mommy4 · August 17, 2010

Is anyone on the public medical card?? Is it possible for them to pay for tummy tucks???

Tiffykins · August 17, 2010

They might pay for panniculectomy. Tummy tucks are considered cosmetic, panniculectomy is considered medical.

panniculectomy.panniculectomy - Google Search

There's a bunch of articles on the different procedures. Most insurance companies require proving medical necessity. I'll have mine covered as a panniculectomy, and then I will pay for the "tummy tuck" portion privately to the surgeon. My insurance will pay all the hospital charges, anesthesia, and OR fees. The only cost I'll incur will be to the surgeon for his time on actually tightening up my muscles, and I plan on having a little Lipo done as well along with breast augmentation.

For my insurance, I have to document, skin irritation, pain, and/or rashes/boils etc etc. I've been having my PCM document things for me since getting to goal. So after I am done with baby making and delivery, and another c-section, our insurance will not be able to deny coverage.

We have Tricare which everyone thinks is fabulous, but we have just as many if not more hoops and red-tape that we have to overcome before they'll cover stuff. It's a government ran insurance plan, and with anything that has the government's hand in, there are hurdles.

Mommy4 · August 18, 2010

that helps a bunch!! I dont care if they tighten my muscles or not i just want this flap gone!!! it really makes me feel uncomfortable about my body!!

Tiffykins · August 19, 2010

that helps a bunch!! I dont care if they tighten my muscles or not i just want this flap gone!!! it really makes me feel uncomfortable about my body!!

Usually it causing mental anguish isn't enough to get coverage. Sometimes it can be, but for most insurance companies, especially gov't ran programs, we have to prove medical necessity. I had one friend get her TT done by over-exfoliating the skin flap, and causing irritation. She had to document it for 6 months, and her insurance company covered it 100%.

Mommy4 · August 19, 2010

Usually it causing mental anguish isn't enough to get coverage. Sometimes it can be, but for most insurance companies, especially gov't ran programs, we have to prove medical necessity. I had one friend get her TT done by over-exfoliating the skin flap, and causing irritation. She had to document it for 6 months, and her insurance company covered it 100%.

well my complaining starts tomorrow!! I have a appt because since i started loosing weight i have had unreal hip pain and i really believe its from all this extra weight just "hanging" on my hips!! I am willing to go to the doctor weekly and complain about sores and irritation to get this covered!! =) thanks for the tip:thumbup1: