"medical necessity" arm lift requirements?
Hi..
I am 2 1/2 years out and would love to have an arm lift. I know all insurance/policies are different, but can those of you who have had their arm lifts covered by insurance, please tell me what conditions you had to have/prove?
I have having trouble finding anything out from our insurance company. I am having some tingling/soreness on my one arm and before I see a doctor, I would like to have some info....
Thanks to all!!
Martha
VSG 11/07
132# lost
I am 2 1/2 years out and would love to have an arm lift. I know all insurance/policies are different, but can those of you who have had their arm lifts covered by insurance, please tell me what conditions you had to have/prove?
I have having trouble finding anything out from our insurance company. I am having some tingling/soreness on my one arm and before I see a doctor, I would like to have some info....
Thanks to all!!
Martha
VSG 11/07
132# lost
Just to give you an idea how insane insurance companies can be--- I had suppurative weeping sores under both arms for years, letters from three doctors, photos of everything, and THIS armlift STILL wasn't covered, and I lost again in the appeal:
"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
My insurance, Blue Cross, covered my arm lift 5 years ago because I was getting open sores in my arm pits and yeast infections. They sent out a letter just 1 month later to all their plastic surgeons saying that under no cir****tances would they be coving arm or thigh lifts any longer, no matter how many doctors sent in letters. That may have changed since then. My PS said I am only 1 of 2 patients he has ever had the insurance cover the arm lift for. I had letters from my PCP, WLS and PS as well as about 50 photos of the open sores and infections. I also made copies of every prescription my PCP gave me for creams to heal the sores/infections.
Good luck.
Good luck.
Thanks for all of your replies.
I saw one plastic surgeon, and all he said is that they have never had an insurance company cover it. Period.
I think it's worth a shot, but thought it would be better if I had an idea of the "hot buttons".....I know it's not common, but I did see that a few were covered, and thought I'd take advantage of this board and people's experiences.
Thank you again to all!!
Martha
I saw one plastic surgeon, and all he said is that they have never had an insurance company cover it. Period.
I think it's worth a shot, but thought it would be better if I had an idea of the "hot buttons".....I know it's not common, but I did see that a few were covered, and thought I'd take advantage of this board and people's experiences.
Thank you again to all!!
Martha
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