plastic surgeon

[goddess04 45]

help! does anyone know of a plastic surgeon in florida preferably south florida that has done both the panni and Tummy Tuck using insurance?

(and u liked the results)

[allycatt98 35]

Hi Goddess,

I'm in Tampa, but just had a consult at USF Health. They offer a 50% discount at their Resident Plastic Surgery clinic and since they are quite familiar with the insurance process. If you're in south Florida, I would inquire about the University of Miami plastic surgery clinic if you discover that the insurance option isn't feasible. I've dealt with them in the past, and they are well versed with insurance payors.

I would say that most docs, (if they're affiliated with your insurance plan) are familiar with the Prior Authorization guidelines. The best advice is for you to review, review, review your benefit plan. Some of them have a dollar limit max on procedures related to the weight loss including post-op plastics.

This is such an exciting process. I'm still not sure of my next steps....... Best wishes to you!

Ally

[goddess04 45]

Thanks for the response. I tried UM among others. The doctors I've seen will only put in for the panni. I know my insurance will cover that. Im looking for someone that will submit both. They aren't that familiar because they swear I won't even get approved for panni. I know it will from going to other doctors and talking to insurance company.

[allycatt98 35]

• Well you could always submit the request yourself..... I've done that before too when I got tired of waiting. Just a thought.

[goddess04 45]

Ok. what did you use to submit? Aren't there specific forms that have to come from a doctor?

[allycatt98 35]

I called the member services number and told them that I wanted to initiate a Pre-Authorization request. Different Plans use different names. I was able to initiate the request and faxed over the documentation that I had from my physician's office (notes, imaging, etc.). I provided my physician's information for follow-up (name, phone and fax number). Then once the Prior Auth request was initiated, I contacted my physician's office to provide them the info.

I've got a Type A Personality, so this stuff comes easy to me. If they won't do it, then dang it, I will get it done.

[goddess04 45]

haha i understand. i will def look into it. if it wasn't for me pushing and listening to the lady at the surgeons office i would still be here waiting for my sleeve. she said they would deny it. i said just submit what i have! and surprise! her know-it-all ass was wrong.