Panni approved!!! But what about my arms?
Ok, so I saw the plastic surgeon on 6/8. The nurse said..he'll get it dictated today and I'll get it faxed over. "Usually takes about 2 weeks to hear". So, I waited a little over 2 weeks and checked. NOTHING. Called nurse, she told me "I sent it over last week" which was a week and a half AFTER I saw him. So I knew I'd have more waiting. Last Monday, I called insurance. They received it 6/18! The lady at BC/BS was so nice and even asked how my RNY went and that she had been considering it. So, she said call back regarding plastics whenver I wanted. I tried to be patient. Saturday, I got the approval letter in the mail for the panni removal!! I was so excited! But was wondering all day yesterady, what about my arms? Was it an instant denial? Were they still considering it? I"m ready to fight for them. So, I called BC/BS this morning. They never even received the request for anything but my pannus removal. GRRRRR! So, I called the nurse, and e-mailed the nurse at 9 this morning. Now, I guess I wait...again!
Woohoo...congrats on the approval! I am still going back and forth with Anthem BC about my tummy. Hopefully they will approve the arms for you (they did mine), and you will hear from them soon. Call as often as you need and keep them on top of it.
April
April
160 lbs lost to date!
LBL: 6/10/09
BL/BA/Brachio: 7/14/09
MTL: 6/17/10
I'm not sure what criteria would be. What I was told was that they rarely pay for ams. See Shari's post (Jupiter). My arms look very similar to hers. I have so much excess skin, that I do have to be careful when cooking when reachign to back burner that it touches a pot in the front. I have to SHOVE the excess skin into clothes; search and search for short sleeves that are long enough to cover the excess skin, dry very carefully so that I don't get sore, stinky rashes. Insurance is such crap. How can they not pay for such things? Beats me. Yeah, its cosmetic to remove 5 pounds of skin from each arm, but yeah, it would improve my life and things that I do.