BCBS insurance?
I have them also, but I have not started work up for plastics yet since I still have another 30lbs to lose before I am PS-ready. I'll post on it once I start the process though. (First appt with PS is end of April). I did get the letter from them when they approved my RNY saying that no "cosmetic" plastics would be covered. Luckily my PCP has been diligent in documenting skin breakdown from day 1, and I have photos as well. So I am hoping & praying some of mine will be considered medically necessary.
HW 495/Consult 426/SW 363/Current 182
"If you want a guarantee, buy a toaster."-- Clint Eastwood
"Don't compromise yourself. You are all you've got."-- Janis Joplin
"If you want a guarantee, buy a toaster."-- Clint Eastwood
"Don't compromise yourself. You are all you've got."-- Janis Joplin
Unfortunately I got the same letter as everyone else..."will not cover reconstructive surgery." Whatever! I lost the weight I needed to and went to my plastic surgeon on the 12th of March and let him run down the full list of what he suggested. Of course left the office with stars in my eyes!
The one thing he did was submit to insurance for what he thought was necessary. I do have a repaired hernia that is now messed up again and moving into my belly button so I'm hoping that gets me something. Otherwise it's $25k total for LBL, thighs, implants (no lift), and two nights in the hospital. I'm hoping for coverage of some sort that will help pay for the hospital, anesthesia, and part of the surgeon's fee.
My surgeon is in network and the hospital is too....so I'm crossing my fingers! I'll let you know what happens.
Good luck!
The one thing he did was submit to insurance for what he thought was necessary. I do have a repaired hernia that is now messed up again and moving into my belly button so I'm hoping that gets me something. Otherwise it's $25k total for LBL, thighs, implants (no lift), and two nights in the hospital. I'm hoping for coverage of some sort that will help pay for the hospital, anesthesia, and part of the surgeon's fee.
My surgeon is in network and the hospital is too....so I'm crossing my fingers! I'll let you know what happens.
Good luck!
I MY DS!!!
Just wanted to update that I called BCBS/NJ's automated system to see if the consultation claim was approved for payment and it was. If it was for cosmetic reasons only I would think they would have denied it, right?
Kashawn, I don't mean to highjiack your thread but we're both in the same boat here. BCBS was quick to approve my WLS revision which is not easy. So I'm hoping they'll help on this one too.
Kashawn, I don't mean to highjiack your thread but we're both in the same boat here. BCBS was quick to approve my WLS revision which is not easy. So I'm hoping they'll help on this one too.
I MY DS!!!