Rashes

Eveningblossom
on 2/18/11 3:31 pm - Cuba City, WI
I need to document rashes for my insurance.

I have only one report with my primary that I came in and got some creme in November, 2010 I will go back in Monday to show the rash is still there.

Will this be enouugh to meet their qualifications for tummy fold rashes?

Later I will need some rashes in my armpits for an arm lift.

Any advice?

Pat

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Eveningblossom
B.J.
on 2/19/11 6:15 am - Rehoboth Beach, DE
I used proof of medication refills from a pharmacy printout to for documentation of ongoing rashes. My doctor had allowed three months of refills per visit, so I was able to show six months worth of them, along with photos of rashes (did have to go through the appeal process but finally got approval for PS).
(deactivated member)
on 2/19/11 7:42 am
Follow the requirements of your insurance closely. Mine demanded that I see my PCP every month for at least three months, use prescription medication and have my PCP document the rashes in her records.
Melinda L.
on 2/19/11 3:57 pm - San Antonio, TX
You need to read your specific Insurance policy... I didn't read mine throughly before-hand and got denied.  I had 3 rashes March, April and July last year and had them all documented with Dr visits and photos.  I had the presrecptions filled a few times.

After I got denied I looked up the AETNA CPB and it states:
      "The medical records document that the panniculus causes chronic intertrigo (dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing) that consistently recurs over 3 months while receiving appropriate medical therapy, or remains refractory to appropriate medical therapy over a period of 3 months."

also - MOST insurances, if they cover any PS, only cover the removal of the panniculus.  Even with rashes, getting your arms covered is a long shot. 
(Not saying you shouldn't try - just wouldn't hold your breath on that one  )
RNY - 12/10/2008    Dr. Terive Duperier of BMI of Texas
Lower Body Lift / Breast Lift - 07/20/2011  
Dr Peter Fisher of San Antonio Plastic Surgery Center
  
  
Eveningblossom
on 2/19/11 5:34 pm - Cuba City, WI
Thank you very much. You gave very good advice, again, Melinda, Thank you very much. i really appreciate it.

Pat
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