Rashes
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
[email protected]
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
[email protected]
Eveningblossom
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).
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 )
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
Lower Body Lift / Breast Lift - 07/20/2011 Dr Peter Fisher of San Antonio Plastic Surgery Center