Do you think my chances for plastic surgery are practical?

I am almost 6 months post-op and thinking about reconstruction surgery. Thigh lift and tummy tuck are the two high ones on my list. Since my insurance paid for my lap rny, I am hopeful they will follow suit with the reconstruction surgeries (but not holding my breath). In my insurance booklet, I found two quotes that pertain to reconstruction/plastic surgery. These are the ONLY info in my booklet about such. They read that they will NOT pay for the following- (I put what I thought was important in caps.) "PROCEDURE PERFORMED MAINLY TO IMPROVE APPEARANCE OF THE COVERED PERSON, unless it is (a) treatment of congenital defect or birth defect of a newborn child; or (b) cosmetic surgery for repair of damage sustained in an accident and the charges are incurred within one year from the date of the accident".....and....."the treatment of obesity, including, but not limited to: gastric stapling, gastric bubble, bypass surgery, diet-based weight loss programs, exercise programs or gym programs. For treament of morbid obesity and RELATED MEDICAL CONDITIONS, the plan will pay for medical or surgical treament of morbid obesity, but will not pay for weight loss programs, or FOR COSMETIC TREATMENTS.".....I am very aware that it is all in how the surgeon words their paperwork and that it must be spelled out that it is medically necessary, but how would you take those quotes? Though I am a devout pessimist, I don't think this is bad news for me. Nowhere does it state anything about reconstruction surgery and I also think that maybe since they paid for the WLS, they may pay for the skin removal since it was a product from the WLS. Comments, please?..........Karen (lap rny- 9/20/02- down 118 pounds)

We greatly appreciate your interest in helping us build our Q&A database. To discourage vandals from posting garbage, however, we require people to register before posting.

You must be logged in to post an answer. Click here to log in.