Ok..so I might be out of place.
So, I'm not too sure if I'm in the right place or not. My name is Holly and I have not had bypass surgery..I lost my weight through Weigh****chers and am currently down from 332.2 to 184.8lbs...I've noticed that I have alot of lose skin, especially in my abdomen, buttocks, hips, thighs, and under my upper arms. Has anyone ever known of someone to get insurance to pay for body reconstruction if they have not had weight loss surgery?
Hi Holly. Congratulations on your weight loss! I am impressed, losing that much weight is challenging. I am not sure about your insurance question, mostly that will depend on your policy. The thing I read over and over again, though, is that the key is to document every little detail. If you are getting rashes in the folds of your skin, take pictures. Keep a journal, document every thing that happens that is a concern with your extra skin. The thing is that you and your doctor will have to make a case for the insurance company that it is medically necessary. Take care and keep us posted.
~Ellen
Typically what the insurance will cover is a panni (partial tummy tuck) and maybe arms... I havent heard of much beyond that. First I would make sure you have the benefit because many do not. Having weight loss surgery wouldnt matter for the approval... they are more concerned with the medical reasons why you need to have the skin removed.
Welcome to the board and congrats on your weight loss. Stay encouraged. The standard for most is losing 100lbs or more and the complications. Document as already stated . . rashes, boils, odors, skin causing mobility problems ie back problems, I have know people to go to chiropractors (sp?) for documentation. Keep up with all of the treatments that you use and mention the rash or complications at every appointment no matter what type of doctor . . documentation is documentation. Keep up with receipts and everything. You never know what will help to prove your case. As stated keep a journal so you can keep up with the dates and apperances of the problems.
Take care
Phenom