Pacomomma 0 Posted May 2, 2007 On March 8th I went for my consultation, 2 weeks later ,I received a letter as well as a phone call that insurance will cover the procedure. It is set for 5/21( I had to finish this semester first.) I will try to keep everyone posted and if at all possible post some pics. To date I have lost 112lbs with the assistance of my best friend ,Mr.Band. My plastic surgeon informed me that everything from the belly button down will be gone --- oh my that's alot. PS I have GHI HMO Share this post Link to post Share on other sites
MyKdsDad 1 Posted May 2, 2007 Wow, Pat! That is an impressive weight loss. Good luck with the PS. I'm sure you'll be lookin' better than ever in no time at all. Don't forget to post us some pictures, we always like to see the results. Quick recovery and little pain. Share this post Link to post Share on other sites
clovermeg 2 Posted May 3, 2007 If you don't mind me asking, and maybe you posted it somewhere else, but how did you get the insurance to cover it? Did you have a rash or something....any helpful hints would be much appreciated!!! Share this post Link to post Share on other sites
2bthinagn 3 Posted May 3, 2007 If you don't mind me asking, and maybe you posted it somewhere else, but how did you get the insurance to cover it? Did you have a rash or something....any helpful hints would be much appreciated!!! Yes how do you get this sort of thing covered ? Share this post Link to post Share on other sites
Lap_dancer 8 Posted May 3, 2007 On March 8th I went for my consultation, 2 weeks later ,I received a letter as well as a phone call that insurance will cover the procedure. It is set for 5/21( I had to finish this semester first.) I will try to keep everyone posted and if at all possible post some pics. To date I have lost 112lbs with the assistance of my best friend ,Mr.Band. My plastic surgeon informed me that everything from the belly button down will be gone --- oh my that's alot. PS I have GHI HMO Congratulations. I dream of having this done. My belly swings. Share this post Link to post Share on other sites
Marimaru 7 Posted May 3, 2007 My understand of insurance is that they will cover a procedure like this if you can prove that the skin will cause/is causing a medical problem, like rashes or tearing. The panni procedure is only skin removal, where as a Tummy Tuck includes muscle tightening. Congrats on getting your surgery! Share this post Link to post Share on other sites
Wheetsin 714 Posted May 3, 2007 Unless it is excluded, generally PS is covered if deemed a medical necessity, but that is not easy to prove and will take a lot of medical documentation. The trick is to truly have a medically necessary reason ("rash" really isn't it) that the skin must be removed, or it will be classified as a cosmetic procedure. My insurance company covers medically necessary PS. I'm probably a few years out from it and already starting to gather my documentation. Approval will also be determined, in part, by the aggressiveness of the surgeon. Share this post Link to post Share on other sites
Pacomomma 0 Posted May 4, 2007 I started my documentation very early on with my surgeon ,every month I went in to get a fill I told him about the redness and rash that was under my Right side of my belly. My PS told me that he will tighten the muscles as during the consult he felt a separation in my stomach muscles. I do know that I am getting a incision from hipbone to hipbone and will have 3 jackson-pratt drains . also when I had my PS consult the surgeon took pictures of my abdomen, the rashy area and sent them with the letter to insurance company. hope this helps. Share this post Link to post Share on other sites
lianna 3 Posted May 4, 2007 Lucky you! I want a rash, lol. Really, you must very excited to be able to have this done! Share this post Link to post Share on other sites
GayleTX 1 Posted May 4, 2007 I got my approval letter a couple of days ago!! No hassle at all. The PS wrote a letter saying the panni was causing me backpain and balance problems and sent in some pictures (that's what did it, I'm sure! Some skinny little underwriter was so horrified at what that belly looked like that she stamped "approved' on there in red letters and put a rush order on it!!). Anyhow, they said my out of pocket would be $220. The surgeon is getting his father to assist (I hope he's a surgeon, too!!) and I'm scheduled for July 13 (I don't have time til then). Share this post Link to post Share on other sites
mommy3boys 0 Posted May 7, 2007 Gayle you are too funny...I needed that skinny minny comment today. Ana Share this post Link to post Share on other sites
Poodles 0 Posted May 10, 2007 A rash won't do it hugh? Well, wait until August in Texas, don't take a shower for a week, and then snap some pics. (ewwwww!) Share this post Link to post Share on other sites
piercedqt78 658 Posted May 11, 2007 An easy way to develop a rash is to "forget" to rinse liquid soap off the area that needs skin removed. Instant rash. ~Mandy Share this post Link to post Share on other sites
Suzzzie. 3 Posted May 11, 2007 An easy way to develop a rash is to "forget" to rinse liquid soap off the area that needs skin removed. Instant rash. ~Mandy Haha. This is hilarious! I love learning new ways to scam the insurance companies! I can't wait until I get banded, get skinny, and get my own PS! Share this post Link to post Share on other sites
NurseTeresa 0 Posted May 11, 2007 Dont dry under the folds will be a basis for the start of a moist hot area and waaaaaaaaalllllllllllllllllllllllaaaaaaaaaaaaa(in a short amount of time) you will get a wonderful yeast infection....painful but easy to take pictures of and get a trail. Share this post Link to post Share on other sites