United Healthcare covering Plastics?

sweetestdyme
on 4/13/10 6:46 am - Memphis, TN
Has anyone had their surgery covered by united healthcare? I need some thing done about my breast really bad...I have lots of skin a loose tissue, and my stomach and thighs have lots of skin and rashes are developing.
# 1 MACK_MAMA
on 4/14/10 1:58 am

Hi there!

I got approved by UHC for a panniculetomy and a anchor cut TT. the TT was approved due to complications with the skin and fat left from just the panni.

 

 

DrL
on 4/14/10 11:55 pm - Houston, TX
Just like Mack Momma said, you basically have to have medical issues from the excess skin to get covered, or in the case of breast they usuallyw ant 500cc of tissue removed from each side.  For reference, a can of soda is about 320cc.

There is some additional info o my website about getting insurance approval at:

http://www.drlomonaco.com/plastic-surgery-patient-resources. shtml

John LoMonaco, M.D., F.A.C.S.
Plastic Surgery
Houston, Texas

www.DrLoMonaco.com
www.BodyLiftHouston.com
jtrandall
on 5/11/10 3:54 pm - TX
As others mentioned but to expand, your insurance company is looking for medical necessity.  To start with, don't call it "plastics" as the connotation is cosmetic and you want all reference to medical necessitiy.  I know what you mean when you say platics but you will want pictures if it helps tell how bad the rash or medical issue is, see your PCP monthly and ensure he gives you a pescriptin for the condition, notes the condition in your medical record and get the pescriptin  filled keeping the receipts for proof if needed.  Do this for three months so show a trend.

Jim Randall
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