What makes a TT medically necessary

jeannie115
on 9/14/09 9:18 am - Martinsville , IN

My insurance will pay for a medically necessary reconstructive procedure. I was just wondering what would be "medically necessary" as far as my panni goes. Thanks in advance for your help, I promise I tried to use the "search" feature first, I just couldn't find what I was looking for.

Jeannie

33 lbs lost prior to surgery!

Jupiter6
on 9/14/09 12:12 pm - Near Media, Pa- South of Philly, NJ

RNY on 07/16/07

If it's causing you tremendous and measurable pain, if you have recurrent rashes that do not respond to treatment, if you have skin degradation or intertrigo, or sores.

"Oh sweet and sour Jesus, that is GOOD!" - Stephen Colbert Lap RNY 7/07-- Lap Gallbladder 5/08--
     Emergency Bowel Repair 6/08 -Dr. Meilahn, Temple U.   Upper and Lower Bleph/Lower Face Lift
     12/08
     Fraxel Repair 2/09-- Lower Bleph Re-Do 5/09  -Dr. Pontell, Media PA Mastopexy/Massive
     Brachioplasty/ Extended Abdominoplasty (plus Mons Lift and Upper Leg lift) / Hernia Repair
     6/24/09 ---Butt Lift and Lateral Thighplasty Scheduled 7/6/10 - Dr. Ivor Kaplan VA Beach
     Total Cost: $33,500   Start wt: 368   RNY wt: 300 Goal wt: 150   Current wt: 148.2 BMI: 24.7

Redhaired
on 9/14/09 1:03 pm - Mouseville, FL

DS on 07/13/06

For some it is rashes, yeast infections and in general yucky skin. For others it is back pain that is aggravated by the hanging panni. For others, the panni may hang so low that it impairs their mobility. I guess the long and the short of it -- is if the skin is creating or aggravating physical illness and you have that documented through numerous appointments with PCP and other specialists. Also they look at how the condition is treated. Over the counter stuff or do you need prescription medications to treat the malady.

Iam_with_the_Band
on 9/14/09 4:07 pm

Lap Band

usually when the insurance deems reconstruction medically necessary they will only pay to have the skin removed - the panni, they won't do a full tummy tuck. there won't be any tightening of the muscles.

12/09 and 6/11, 9 skin removal procedures with Dr. Sauceda in Monterrey Mexico
Revised to the Sleeve after losing 271 lbs with the LapBand.

inkerdoodles
on 9/14/09 10:06 pm - Schenectady, NY

RNY on 01/25/08

as the medical necessity for each insurance is different the best thing to do is to contact your company and ask for their medical guidelines...... in my particular case they wanted 6 months documented 'antibiotic resistant rashes'.... well, as we all know, our rashes are typically yeast and yeast you don't treat with an antibiotic... and hence... no coverage for me.

Lisa... HW/ 314.7 SW/ 280 CW/ 180ish

RNY ~ 01/25/2008 Terrence Clarke (Ellis Hosptial Bariatric Center).... Lower Body Lift with butt lift and upper thigh lift ~ 07/14/2009 Sanjiv Kayastha (K Plastic Surgery) -- LOVE IT !!!!

MirandaK
on 9/17/09 12:17 am - Richmond, TX

Jeannie

I work with Dr John LoMonaco in Houston TX. If you would e-mail me at [email protected] I will be happy to e-mail you some information that will be great for this next stage in your weight loss journey.

We even have a document titled "Tips on Getting Your Plasic Surgery Approved by Insurance"

Miranda Knerr

What makes a TT medically necessary

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What makes a TT medically necessary