Those who have been denied for PS through Insurance

mzhuny
on 10/27/10 9:44 am - Humble, TX
So There is hope. In researching I have found that there is a way to get insurance to approve surgeries. Most policies will cover at least the panni removal some the full tummy tuck. Well there is even more news. They generally will not cover arm lift, Thigh lift, back lift, bra roll and just breast lift . Well I was informed that there is actually a way around this. Instead of listing the procedures most insurance companies will cover the excession of skin and yes there is a CPt code for almost every major body part. If I had not seen the approval letter i would not have believed it my self. I immediately called my PS patient coordinator and insurance specialist to ask? She was already on top of it and said that yes this is true it is all based on how it is worded. I was already approved for the Abdominalplasty and was prepared to pay to upgrade to the LBL(whickh I still will if i have to) But my PS has resubmitted additional CPT codes as of Yesterday!!!
    
cpalais
on 10/28/10 3:08 am
Just curious"What is a CPT code for?


Thank you,
Claudia
LadyJwb
on 10/28/10 11:15 am - Philadelphia, PA
That's awesome congrats. My job has a clause and will not pay for ANY PS of any kind so there is no getting around it except breast lifts for back pain (which i am experiencing) I just have to continue to save up. I'm about to sale everything I own girl...Lol. I'm Happy for you! Wish because of the economy that plastic surgeon would run some special...LLS.
mzhuny
on 10/29/10 4:55 am - Humble, TX

I was determined to get as much covered as possible. But I felt like u I would probably sale everything I own!!!   I ws prepared to pay out of pocket for some of it. Now I'm waiting on insurance to actually review the additional documentation. I am calling them everyday.

    
LadyJwb
on 10/29/10 9:57 am - Philadelphia, PA
LOL girl Yes.... I'm setting g up a $1 table this weekend! And I got some good stuff will get a 2nd job if I have two and I want it all done by May 2011 (Let me rephrase that) I WILL BE GETTING A Tummy Tuck with abdominal tightening and my arms done By May 2011. I'm thinking about the thighs but will see. Good Luck and continue to call daily
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