Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

Tummy tucks are almost never approved. Getting your panni removed (the skin and dat that hangs over the groin) might be. You usually need a history of health issues like yeast infections and skin breakdown. If you can, I would start going to the doctor soon after surgery complaining about the yeast infections and such to establish a history. When it comes time to remove the skin you can use that history to try and push the panni thru.

HW 385 SW 359 CW 335 (50lbs down!) Sleeved 10/5/16

Share this post


Link to post
Share on other sites

Tummy tucks are almost never approved. Getting your panni removed (the skin and dat that hangs over the groin) might be. You usually need a history of health issues like yeast infections and skin breakdown. If you can, I would start going to the doctor soon after surgery complaining about the yeast infections and such to establish a history. When it comes time to remove the skin you can use that history to try and push the panni thru.

HW 385 SW 359 CW 335 (50lbs down!) Sleeved 10/5/16

Thanks for sharing that info. Im curious, do you think it's better if the hygiene complaints with the primary start before or after surgery? Or does it make any difference?

Sent from Dee~Dee via BariatricPal

Share this post


Link to post
Share on other sites

I, personally, woukd wait until after the surgery so that it can be atributed to the weight loss rather than your normal body. But its up to you.

HW 385 SW 359 CW 335 (50lbs down!) Sleeved 10/5/16

Share this post


Link to post
Share on other sites

Yes! I got a Tummy Tuck and panni fully approved by my insurance. I've been so pleased with the results. I just called my insurance company and found out what their requirements were to have it covered and I made sure I met them. When we sent it for approval it came back in 3 days as approved. The only requriements were 4 months of visits with my pcp documenting other treatments tried and failed (ie,creams, medications, etc), be at least 18 months post op, and have a surgeon submit photos.

Share this post


Link to post
Share on other sites

Yes! I got a Tummy Tuck and panni fully approved by my insurance. I've been so pleased with the results. I just called my insurance company and found out what their requirements were to have it covered and I made sure I met them. When we sent it for approval it came back in 3 days as approved. The only requriements were 4 months of visits with my pcp documenting other treatments tried and failed (ie,creams, medications, etc), be at least 18 months post op, and have a surgeon submit photos.

If you dont mind... What insurance do you have? What issues did you have that made it medically nessisary? I am sure there are many of us who just deal with the issues that come with being obese, but if we knew that they could possibly be considered pre reqs for surgery, we would go to the dr about them.

HW 385 SW 359 CW 335 (50lbs down!) Sleeved 10/5/16

Share this post


Link to post
Share on other sites

Yes! I got a Tummy Tuck and panni fully approved by my insurance. I've been so pleased with the results. I just called my insurance company and found out what their requirements were to have it covered and I made sure I met them. When we sent it for approval it came back in 3 days as approved. The only requriements were 4 months of visits with my pcp documenting other treatments tried and failed (ie,creams, medications, etc), be at least 18 months post op, and have a surgeon submit photos.

If you dont mind... What insurance do you have? What issues did you have that made it medically nessisary? I am sure there are many of us who just deal with the issues that come with being obese, but if we knew that they could possibly be considered pre reqs for surgery, we would go to the dr about them.

HW 385 SW 359 CW 335 (50lbs down!) Sleeved 10/5/16

I have highmark blue cross blue shield. Honestly I didn't have a ton of issues. Just a little chafing, etc when I ran. My PCP did a really good job of advocating for me in my visits.

Share this post


Link to post
Share on other sites

I have a history of Hidradenitis suppurativa sores in my armpit, under my breasts, at the waistline and in the groin. They cause me a fair amount of pain. I also have a lot of chaffing and Keratosis pilaris bumps on my inner thighs. Hopefully insurance will cover the surgery needed to fix these issues as they will only get worse as the skin sags more.

HW 385 SW 359 CW 335 (50lbs down!) Sleeved 10/5/16

Share this post


Link to post
Share on other sites

I have a history of Hidradenitis suppurativa sores in my armpit, under my breasts, at the waistline and in the groin. They cause me a fair amount of pain. I also have a lot of chaffing and Keratosis pilaris bumps on my inner thighs. Hopefully insurance will cover the surgery needed to fix these issues as they will only get worse as the skin sags more.

HW 385 SW 359 CW 335 (50lbs down!) Sleeved 10/5/16

Seems like that is a significant problem for you. I would just be sure to document, document, document!

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

    • Sandra Austin Tx

      I’m 6 days post op as of today. I had the gastric bypass 
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×