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Tummy tuck

CuteChubz
on 11/15/10 6:00 am - PA
Just wondering about tummy tuck! Has anyone had a tummy tuck after being banded, did insurance cover it? How does it work out when u have a band?
dlee40
on 11/15/10 12:40 pm - TX
I went to a bariatric support group last week and the guest speaker was a tummy tuck surgeon. He said they don't want to do them until 1 to 1 1/2 years out from the surgery and not until you've pretty much quit losing.

Insurance mostly doesn't cover the tummy tuck -- it only covers it when you have documentation from doctors about medical issues caused by the excess skin. This would include infections, skin degredation, etc. He said to have every doctor you see about any of these kinds of problems document, document, document. The surgeon can then use that documentation for "medical necessity" and get insurance approval. But just the loss of 100-150 pounds won't work -- there HAS to be medical necessity and it has to be documented.

This doctor also does a sort of 360 view -- front and back, and he does arm tucks, etc. But again, these are hardly ever covered by insurance. And if insurance doesn't cover it, Medicare is likely not to.

There's not much you can do as an individual to reduce the problems -- he says exercise won't do it, etc. The key is good genes -- the elasticity kind.
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