Who do you approach first for tt & thigh lift? Primary or Bypass Surgeon? And what do...

 When I ask what do you say, I'm talking about in the instance that you obviously have skin and fat and muscle 'damage' but you don't necessarily have rashes or infections.  Is it hard to get your primary on the same page as you to get the documentation necessary for the insurance to company to pay.  

I've lost over 100lbs and will try and lose another 15lbs max.  I have more excess skin and the dimpling all over my thighs.  My breasts are soft and when I bend over you can see that the tissue is mostly skin.  I need some C's!

So, how do I go about getting BCBS of Delaware to pay for at least my TT and/or thigh lift and prayerfully even my breast implants.  I will 'embellish' if I have to.  

Oh dear, good luck on getting implants paid for by insurance.

I think you should go to your primary for this issue.  It really has nothing to do with your weight loss surgeon.  At some point, you really do need to convince someone that this is a medical problem and not a cosmetic one.  That means pain, infections, hanging below the pubis (is a sanitary issue), mobility issues, etc.

I'm not sure that I've ever heard of an insurance company paying for a muscle repair though.  Usually just panniculectomies, if anything.

And while we're on the subject, "embellishing" is insurance fraud and makes everyone's premiums go up.

You do have to be very careful. Not all PCP's are interested in embellishing the situation to get the insurance to cover. I have seen few insurances cover thigh lifts - even after losing over 300lbs mine would not - regardless of what issues I had - including a knee that kept popping out of place due to the excess skin. They refused to pay for everything related to plastics.

Call your plan rep and ask them what they require - then go from there. Most of the time documentation has to be done over a long period of time.

I have seen panni's covered without muscle repair - one or two arm lifts but I haven't seen anyone have a breast lift - reduction yes, but not lift and never implants.

Most of us here (including myself) were self pay. I think plastics is one of the harder things to get insurance to pay for. I paid all out of pocket for mine, still waiting to see if my insurance will even cover the Panni part...but I still had to pay for it in full prior to surgery. It will be refunded if they pay.

Best of luck to you!

My insurance would not pay.  I found that the surgeon, anesthesiologist and hospital had significant (about 75%) discount for self pay.  There are medical loan resources out there that can help.  I've heard others mention them.

I was able to cash in a mutual fund from a previous employeer that funded my plastic surgery and hope to have enough related expenses from out of pocket surgery, travel, supplies, prescription and co pays this year to apply it on taxes.

Best wishes.