Question:
Has anyone had United Healthcare approve a tummy tuck after losing 100+ lbs?
Any recommendations on how to describe the surgery as improving physiological function? That is the guideline for getting it approved. — Katy B. (posted on March 29, 2005)
March 29, 2005
Your excess skin must cause you functional (or "physiologic")
problems: rashes, infections, ingrown hairs, open sores that don't heal in
spite of creams or powders or antibiotics. This must all be documented by
visits to a doctor for these issues. Back pain, if treated by a variety of
methods (therapy, massage, meds, chiropracter) and documented carefully can
also help get approval. Photographs of irritated skin are an important
part of documentation. A PS dedicated to helping yo colelct and guide this
process is essential. Expect at least soem out-of-pocket expenses.
— DrL
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