Showing Excess skin on video & denial by insurance

[beba238 123]

They cover it but said I didnt need it, they just didnt get ebough proof from plastic surgeons office, but im working on the appeal as we speak and thank you .

Whose your plastic surgeon?

[lizv123 389]

Ok I have a lot of things to say.

First, I LOVE your heartagram tattoo on your left wrist!!!!

Your video had me in tears. I can't related to being denied but I have had major depressive disorder since I was 10. I know how scary and awful it feels to get into a funk and sit in the dark. My heart breaks for you having to deal with that.

But holy cow, you are such a freaking inspiration! Not just the weight loss (which is amazing) but in your determination to get the vsg done in the first place. And like you've learned, the squeaky wheel gets the oil so to say. Dont stop pushing your insurance company!

Also, you have very nice eyes

A note to everyone I can't stress enough: see your PCP for EVERY little skin problem post op. even if we know what it is having lived with chub rub for years before surgery and know how to treat it, there HAS to be documentation! It can be hard enough, as Alex has kindly informed us, to get approved with documentation...without, you'll be self pay. Document document document!

Thank you, darlin', for sharing your story I'm happy to be part of the group you opened up to! And keep us posted!

[brol1k 50]

What insurance do you have?

My insurance company is HIP CMO and the surgeons name is Dr Vadeem Pizarenko.

[brol1k 50]

Ok I have a lot of things to say.

First, I LOVE your heartagram tattoo on your left wrist!!!!

Your video had me in tears. I can't related to being denied but I have had major depressive disorder since I was 10. I know how scary and awful it feels to get into a funk and sit in the dark. My heart breaks for you having to deal with that.

But holy cow, you are such a freaking inspiration! Not just the weight loss (which is amazing) but in your determination to get the vsg done in the first place. And like you've learned, the squeaky wheel gets the oil so to say. Dont stop pushing your insurance company!

Also, you have very nice eyes

A note to everyone I can't stress enough: see your PCP for EVERY little skin problem post op. even if we know what it is having lived with chub rub for years before surgery and know how to treat it, there HAS to be documentation! It can be hard enough, as Alex has kindly informed us, to get approved with documentation...without, you'll be self pay. Document document document!

Thank you, darlin', for sharing your story I'm happy to be part of the group you opened up to! And keep us posted!

First off, thank you for noticing my heartagram, it is my favorite group of all time, Villes voice is just heavenly. Getting into that funk was horrible as I too suffered form anxiety and depression, its a stage in life I no longer want to return to and that day, I saw it knocking on my door again. It just sucks that some people like myself can never have something without hassle. All my life I had to fight for what i wanted. All those denials to get WLS done paid off in a certain way, its taught me to fight, keep moving, be relentless, and determined, Im not going to stop pushing my insurance, I already got the letter from one of the surgeons, and one from the plastics himself, im just waiting on my dermatologist to write his and I shall present them with a huge packet of high quality pictures, letters, an article from columbia presbyterian, and a dvd copy of this youtube video, as well as pre op and post op weigh in charts. I believe that should be enough proof.

And youre absolutely right about documenting, If id have known, I def would have it all documented since day one but never knew about any of this....And thank you for the compliment, making a guy blush here.

[M2G 1,836]

I wish you all the luck in the world! I think you have an excellent case.

I just had my first consult yesterday with a plastic surgeon yesterday and it was very depressing. I don't qualify for help from insurance but believe me the extra skin is there. If I want to undo the damage done by being morbidly obese for 20 years, it's going to cost me around $22,000 (extended Tummy Tuck and breast uplift, surgeon wanted to talk me into implants but I just don't want them).

I don't know what to do, so for now I will probably do nothing. Ugh.

But I think you have a great case and sending them the video is a GREAT idea!

[inarakatra 51]

Best of luck!

[brol1k 50]

I wish you all the luck in the world! I think you have an excellent case.

I just had my first consult yesterday with a plastic surgeon yesterday and it was very depressing. I don't qualify for help from insurance but believe me the extra skin is there. If I want to undo the damage done by being morbidly obese for 20 years, it's going to cost me around $22,000 (extended Tummy Tuck and breast uplift, surgeon wanted to talk me into implants but I just don't want them).

I don't know what to do, so for now I will probably do nothing. Ugh.

But I think you have a great case and sending them the video is a GREAT idea!

Wow Im so sorry your insurance wont budge either, im somewhat lucky b/c I do know they do approve it with the right documentation, I wish you all the best as well, and dont give up.