DID BC/BS TEXAS FEDERAL PLAN PAY FOR YOUR TUMMY TUCK/PANNIS REMOVAL

sammiejo
on 1/11/13 10:25 pm - Kempner, TX

WONDERING IF ANYONE HAS BC/BS TEXAS FEDERAL EMPLOYEE HEALTH PLAN HAVE ABDOMINOPLASTY WITH PANNIS REMOVAL APPROVAL. THE HELTH PLAN SAID YES THEY WILL COVER ONLY IF IT IS RELATED TO HAVING SURGICAL WEIGHT LOSS SURGERY AND KEPT THE WEIGHT OFF. THE PLASTIC SURGEON TOLD ME NO THEY WILL ONLY COVER THE PANNIS. I COULD USE SOME HELP HERE. THANKS

jinjer
on 1/12/13 9:53 am - Eastwood, KY

I have BCBS Federal, and they only paid for the panni portion of my surgery.  Which came to about $1850 that they paid on $5000 submitted charge. If you have other procedures with a panni they won't pay for anesthesia on the panni portion of the surgery.

Jinjer

 

sammiejo
on 2/5/13 4:27 am - Kempner, TX

I have the same health plan here in Texas. I know they cover for the pannis section to be done but the tummy tuck I am still in the dark on that. I am trying to locate anyone in Texas with the same health plan that was approved for both when listed as medically necessary. If they were I need the CPT code and Diagnosis codes that were used etc. This would be a huge help to me and to other I am sure. Please e-mail me at [email protected] thanks so much

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