Question:
Can someone please explain to me how the insurance process goes for plastic surgery
I really need help to start planning how to go about getting plastic surgery approved by my Cigna health insurance. They approved surgery with no problems now I am just wondering about my tummy tuck and I will need breast reconstruction. Please HELP!!! You can even email me privately. — llcornwell (posted on June 27, 2001)
June 27, 2001
Insurances will only pay for those surgeries if there is a medical
necessity. If you are getting rashes and/or infections under your abdomen
or have nerve pain from the weight of it they will more than likely cover
it. As far as breast reduction they only pay for if you have documented
back problems from them. Basically all you need to do is have your doctor
send in an authorization form to them. good luck
— paula B.
June 27, 2001
Good luck, hon. I had no problem with approval for my RNY. Plastic
surgery is a different story. Here's the info you'll
need:<br><br>
Abdominoplasty is considered reconstructive when performed to correct or
relieve structural defects of the abdominal wall (ICD-9: 701.8/708.9)
and/or chronic low back pain (ICD-9:724.1) due to functional incompetence
of the anterior abdominal wall. These conditions may be caused by:
1. Permanent overstretching of the anterior abdominal wall
following one or more
pregnancies; (ICD-9: 701.8.701.9).
2. Permanent overstretching (with or without diastasis recti
(ICD-9: 928.84) of the anterior abdominal wall with a large or long
abdominal panniculus (ICD-9: 278.1) following weight loss in the treatment
of morbid obesity and resulting in the uncontrollable intertrigo (crease
dermatitis, ICD-9: 692.9) and/or difficult ambulation (ICD-9 724.8).
3. Trauma or surgery to the anterior wall of the abdomen
resulting in loss of muscle of fascial integrity or pain from scar
contracture (ICD-9: 709.2).
4. Abdominal hernia following previous abdominal surgery (ICD-9:
553.201, 553.21).
— [Deactivated Member]
June 27, 2001
On my abdominoplasty webpage there is a link there to my letter to my
insurance carrier with my appeal that won my reconstructive surgeries.. If
you have any questions please feel free to write..
http://www.angelfire.com/journal2/surgery
— Victoria B.
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