Question:
Has anyone's insurance every approved a tummy tuck
Hello everyone! I know abdominoplasty is considered strictly cosmetic, however, I was wondering if anyone has ever been successful getting their insurance carrier to cover it. After losing 110 lbs, I find that all that "extra" overhang is not only unattractive, but uncomfortable as well, especially during the summer. Cheryl — cheryl W. (posted on April 6, 2003)
April 6, 2003
My TT was covered, because I was having an additional abdominal surgery at
the same time...insurance allowed it because I was going to be already
there. Have a Sparkling Day!! ~CAE~
— Mustang
April 6, 2003
Both my primary (Acordia) and secondary (CIGNA PPO) providers approved my
panniculectomy AND brachioplasty (almost unheard of). These are generally
not considered "cosmetic" procedures after massive weight loss.
The American Society of Plastic Surgeons considers this type of surgery to
be "reconstructive". A letter to your insurance provider from a
board-certified plastic surgeon with an accompanying letter of medical
necessity and photographs should get you an approval. If not, then don't
give up....all insurance providers have a process for filing appeals.
Don't stop fighting for what you need and deserve :-)
— Diana T.
April 6, 2003
I had BCBS which approved me for an adominoplasy. I was unable to get it
and then had hte admonoplasty reapproved by Atena. BUT - Atena used
'abdominoplasy' interchangeable with panniculectomy - bascically they
approved for all the skin to be removed. If I had wanted the 'full'
abdominalplasty (muscles) I would have had to pay extra.
With BCBS I did have to appeal to level two.
— star .
April 6, 2003
My BCBS (Empire Blue) approved my panniculectomy along with hernia repair.
However, my surgeon had to speak with the doctor at Blue Cross - they
originally denied it as cosmetic and not medically necessary. But Blue
Cross called the surgeon's office and left the doctor's name and mumber for
my surgeon to call to try to prove medical necessity. Blue Cross
absolutely would not pay for abdominoplasty for me. I had the
panniculectomy almost 9 weeks ago and I've been very pleased. I no longer
have a belly button but that's ok - I don't have yeast rashes either.
— Patty_Butler
April 7, 2003
I just got out of the hospital today. My TT was approved faster than my
WLS. Don't give up!!Good Lux
— Robert L.
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