Anyone get ARM surgery covered by Ins. ? medical needs proven?

(deactivated member)
on 1/4/11 2:14 am - CA
I have the worlds worst  upper arms, really I do.
has anyone ever gotten the brachioplasty covered by Ins? for medical reasons?
please advise!
paranoidmother21
on 1/4/11 4:44 am - Lake Zurich, IL
Yes - BUT - it was because I had a torn chest wall muscle that required a BR/BL and brachioplasty so that the excess skin didn't drag it out of shape again.

Otherwise, I've not heard of it being covered.
Rebecca
Circumferential LBL, anchor TT, BL/BR, brachioplasty 12-16-10 Drs. Howard and Gutowski

Thigh lift 3-24-11, Drs. Howard and Gutowski again!
Height 5' 5".  Start point 254.  DH's goal: 154.  My guess: 144.  Insurance goal: 134.  Currently bouncing around 130-135.
      
Iam_with_the_Band
on 1/4/11 4:18 pm
I tried and even with 27 in/26 in hanging arm skin - I was denied.

I paid cash and he removed - 4 lbs of excess skin from my arms.

It was worth every penny!

12/09 and 6/11, 9 skin removal procedures with Dr. Sauceda in Monterrey Mexico
Revised to the Sleeve after losing 271 lbs with the LapBand. 

(deactivated member)
on 1/4/11 10:15 pm
You're putting the cart before the horse. The first question is does your insurance cover plastic or reconstructive surgery? Many policies will not pay for anything at all and others will limit it to certain parts of the body or it must be related to cancer etc. Call and find out what your particular plan covers.

Be thankful that you don't have the world's worst upper arms, your arms may be larger than normal and cause some problems and self esteem issues; there are medical conditions such as lymphedema which not only distort the arms but are painful and difficult to treat. It helps to put some perspective on these things - yes they are not pretty but it could be worse.

I had a non-cancerous tumor the size of an orange in my upper arm near my elbow removed during my arm lift which my insurance paid for but they refused to pay for any reconstructive surgery to make my arms look normal. Without reconstruction my one arm would have looked seriously deformed and well it looked deformed with the tumor too. I lived with that horrible tumor until I shed all my weight before having my arm lift.
(deactivated member)
on 1/5/11 5:05 am - CA
actually i have had people ask me if i have lymphadema.
i have not been diagnosed as such, but i certainly fit the body shapes for it.
my arms are huge and mishapen.
i look like i have two upper arms on each side, the flab, not just skin...i have fat stuck there too.
it goes down to look like two elbows.
yuck.
my tummy'hips are a 12.
my arms don't fit in a lot of clothes still, mostly i wear knits.
DrL
on 1/5/11 1:07 pm, edited 1/5/11 1:07 pm - Houston, TX
A few tips and links to the major plans websites at:

http://www.drlomonaco.com/tips-on-getting-insurance-for-plas tic-surgery.shtml

My experience is that even with underarm rashes and infections, many plans just don't cover removal of excess skin of the arms or legs.
John LoMonaco, M.D., F.A.C.S.
Plastic Surgery
Houston, Texas

www.DrLoMonaco.com
www.BodyLiftHouston.com
tazfan
on 1/6/11 11:46 am
My insurance covered my arm lift, I was getting infections in my arm pits and open sores from the skin rubbing together.  That was 5 years ago though and I know several people with similiar problems that have been denied by Blue Cross recently.  I took pictures of every sore, rash, infection and submitted them with the ones taken by my plastic surgeon to the insurance.  I made copies of each prescription my pcp gave me for creams and sent in letters from my primary doc, gastric bypass surgeon as well as plastic surgeon.
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