Question:
I need some help for insurance approval for TT

I am trying to get approved for a TT. I have never had any rashes at all, and that is one of things that I have to have to get the surgery... it has to be medical necessary! No I dont have a herina, rashes, or any other document problems........any suggestions??? Also time is running out, so I need some help quick!    — paulsgirl (posted on January 27, 2004)

January 27, 2004
You need to have rashes, back pain from the apron. Otherwise you will have to pay for the TT yourself.
   — TLLessor

January 27, 2004
Um, actually, Anthem approved me without rashes or back pain. I think they went on how far down the skin was hanging. My PS sent in the pics and I was approved for panni removal (no muscle tightening). They did deny the breast lift as cosmetic. For the original poster: I have Anthem PPO, so I don't know if the HMO would be so quick to approve reconstructive surgery. Good Luck.
   — Ali M

January 28, 2004
As much as we all would like to have insurance approve our reconstructive surguries after WLS, it's just not possible for everyone. Do you have some documentation of pain, discomfort, or other way that your panni is impacting you physically in a negative manner? I desperately want a thigh lift. My legs are just horrible- atrocious actually! But, I know that it's not a medical necessity. The only pain it causes is pshychological! :) So, what can I do? You can't make something up, so, you're just going to have to self finance if you want the surgery. If there is no medical necessity, then, you're at the end of the road with insurance. Sorry.
   — LMCLILLY