Where do I start?
Hello everyone!
I guess it's a great thing that I'm over here on this board now after having my VSG back in November 2008. It means that I have made it to my goal, but it also means that I need a little bit of work done. I'm not sure exactly where to start, so I thought I'd pop over here and ask those who had been before me.
First of all, I've lost 150lbs. I've maintained for close to a year now and I don't fluctuate much. I exercise almost everyday. I've been running mostly for cardio, and I am having some real issues with my excess skin around my belly. It's not bad enough to really see in clothes, but this summer is going to be rough in a bathing suit.
I have Blue Cross Blue Shield, HMO. I'd love to have my insurance pay for my plastics! It's the least they could do since I paid out of pocket for my WLS. I guess my question is where do I start in the process to find out if I can expect them to cover any or all of what I need done? My assumption is that I need to talk to my PCP and find out what he thinks. My only concern is that I see a lot of people talk about the need to document skin rashes etc.. before insurance will pay, but I don't really have any of that. Mine is mostly just because it hinders my exercise regimen.
Any advice would be appreciated.
I guess it's a great thing that I'm over here on this board now after having my VSG back in November 2008. It means that I have made it to my goal, but it also means that I need a little bit of work done. I'm not sure exactly where to start, so I thought I'd pop over here and ask those who had been before me.
First of all, I've lost 150lbs. I've maintained for close to a year now and I don't fluctuate much. I exercise almost everyday. I've been running mostly for cardio, and I am having some real issues with my excess skin around my belly. It's not bad enough to really see in clothes, but this summer is going to be rough in a bathing suit.
I have Blue Cross Blue Shield, HMO. I'd love to have my insurance pay for my plastics! It's the least they could do since I paid out of pocket for my WLS. I guess my question is where do I start in the process to find out if I can expect them to cover any or all of what I need done? My assumption is that I need to talk to my PCP and find out what he thinks. My only concern is that I see a lot of people talk about the need to document skin rashes etc.. before insurance will pay, but I don't really have any of that. Mine is mostly just because it hinders my exercise regimen.
Any advice would be appreciated.
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I am probably blessed and not the norm but I have BCBS underwrittenby MESSA and my insurance paid for both my gastric bypass and my recent tummy tuck. For both procedures I just researched doctors in my area, went for a consultation and for my TT the surgeon wrote a letter to the insurance company with the lenght of the pannis, etc. We also asked about a thigh lift and breast lift but they would only cover the TT. I guess my advice is find an area plastic surgeon that specializes in WLS patients and then go for a consult. The good ones know how to help with insurance.
Well you've lost 150 pounds and I am sure have a panni that hangs low. Do you have back pain? All that can help. Get a referral to a PS from your PCP and see if they will file insurance and if necessary help with an appeal. Good luck.
It's amazing you don't have rashes with working out. The more I ran and worked out the worse mine got.
It's amazing you don't have rashes with working out. The more I ran and worked out the worse mine got.
Extended Tummy Tuck & Breast Lift W/Dr. Sauceda 12/30/2009
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