Needs Some Advice!!! Please Help!!!

I had surgery 09/25/2008 and currently down to 135lbs and I have BC/BS POS as my insurance I would like to no if any can give me some advice on how to get me a tummy tuck approved.I really appreciate everyone responds..

Ok first of all, HELlo. YThe first steps that I took where to speak with my primarcy care dr. about rashes and skin breakdowns. She then wrote me a presciption in which i actually picked up. She then refered me to a plastic surgeon afte i continously complained. The sent a request to my insurance along with pictures and 14 days late approved. I also had BCBS and it was much easier than i though. Check ur plan requirements and follow them to the T.

 I have BCBS PPO.  After I chose my surgeon and had a consult he told me what he thought I needed and what my insurance would cover.  He was right.  I had my approval 3 hours after they submitted.  I had a tummy tuck, which I did have to pay $900.00 out of pocket I had the vertical anchor cut which is considered cosmetic and lipo, and a breast reduction and lift.  My surgeon doesn't do reductions without a lift.  My insurance covered that in full.  It all depends on what your coverage is and how your surgeon writes it up.   I have to admit I was suprised my insurance covered as much as it did.  I knew before leaving the office after my consult what my out of pocket would be.  Good luck!

Thanks...So basically I need to find a surgeon who submit claims for patients that have had WLS and go from there..So do u think I need to call my insurance to to see whats the qualification is prior before visiting a surgeon.

Yes.  You need to know what your insurance requires so that you can make sure you have documentation stating you meet those requirements and then send off for approval.

Good luck!