pannectomy with Blue Cross
Yep, got mine covered after an appeal and I had no rashes. Had back pain, said panni was hindering my continued exercise which was important to losing weight. I had a hernia repair done w/ my RNY from a previous gallbladder surgery, had pain in the area from the panni hanging and pulling down. My panni was hanging over the mons area and the extra skin and pressure caused deep sebaceous cysts that were very painful. Can't remember what else I said in the appeal off the top of my head or what my surgeon said. But I do know that he did say in his opinion it was medically necessary and the skin was deteriorating.
Sonya
Sonya
I have HMO Blue and had the panniculectomy covered with no rash without any issues. They approved it without delay. I think that I met the weight loss amount and maintained that loss for over 6 months. I really don't know what their requirements are, but my PS sent pictures and the request for me.
Martha
Martha
High 250/Consult Weight 245/Surgery 205/Now 109
Height 5'4.5" BMI 18.4
In maintenance since June 2009
Thanks for the reply Denise. Yes, I have Blue Cross PPO. I am going to an approved PS on Tuesday, but have really never had any issues with the "overhang". I just want it gone as it is too much. I just didn't know if blue cross was going to expect me to have problems in order to authorize it. I will leave it in the hands of the PS office to get it authorized for me. My surgery was in Dec of 08. I weighed 330 and am now 185. Goal is 175 (I carry my weight really well). I am still losing, so am hoping Blue Cross is not asking for a 6 month maintenance before they approve it.
Debbie
Debbie