Question:
anyone know of a plastic surgeon in massachusetts?
need a plastic surgeon in massachusetts who takes masshealth or bmc to take off my extra skin on my arms and stomach — janet valliere (posted on August 12, 2008)
August 12, 2008
Hi Janet, I live in Massachusetts and my Bariatric Surgeon is in Boston and
he referred me to Faulkner Hospital on Centre Street. He has a group of
Plastic Surgeons that work on his team. They are called Body Sculpting
Specialists and work with weight loss surgery patients. They will work with
your insurance companies but I know Masshealth will NOT remove the extra
skin as they see it as being cosmetic. I have BCBS of Mass (HMO) and they
will remove the extra skin but I am only 4 months post op so I still have a
ways to go before mine can be done. But I have met with the doctor about my
loose skin and "bat wings"--Karen in MA
— Karen M.
August 13, 2008
I am sorry to tell you most insurance companies will not pay for plastic
sugery. I had to pay for my tummy tuck myself. It was definately money
well spent.
— Carlyn M.
August 13, 2008
Most plastic surgeons in Massachusetts will take BMC and/or Mass Health.
The problem is that BMC and MassHealth will not pay them for skin removal
post-WLS unless you have some significant medical problems from the extra
skin (infections, rashes, sores, pain, impaired mobility, etc.). And
unfortunately, it is the BMC/MassHealth who determines what
"significant" means... not you or the doctor.
Are you in Western Mass?
— mrsidknee
August 13, 2008
from someone that works for a MA based health insurance company. Many, if
not all insurance companies will no cover skin removal as a result of this
surgery unless it is causing other semi-serious conditions such as rashes,
pain and the other conditions that were posted above. If there is a plastic
surgeon that will submit the proper auth stating that it is medically
necessary for these underline reasons, you have a shot. Also, from my
experience, many insurance companies require you to be out of surgery for a
bit over a year before they will approve you.
any other questions, let me know.
— blittlejr
August 13, 2008
Hi Janet - I live in Mass and have BCBS (HMO) I had my "bat
wings" and lower body lift done this past January. I had it done at
Tufts New England Medical Center in Boston now known as Tufts Medical
Center. Dr. Christopher Davidson did my surgery. He is fantastic. My
insurance DID NOT pay. As others have stated unless the hanging skin is
causing problems which have to be documented they won't pay. They do
request that you are at least a year out and have maintained your weight
for a few months. This is because if you are not done losing weight and
you have the surgery then you lose more weight you will have more hanging
skin. Dr. Davidson's info is on this web site. He is in the process of
putting his own web site together. I am so pleased with the results. I
will be two years out in October. Best of Luck to you. Niecie
— niecie54
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