Question:
anyone know what to document in an appeal letter to have skin removed from the thighs

i lost 240 pounds and i have a lot of skin i need a lower body lift but i will settle for a thigh lift if anyone knows what to include, document, just anything about these surgeries please let me know.thanks    — bernadette T. (posted on September 11, 2005)


September 11, 2005
Hi. I get a lot of requests for this kind of information. I am trying (hard) to get my "patient resources" page posted on my website so anyone can go there and learn about insurance approval for plastics. www.drLoMonaco.com and www.BodyLiftHouston.com should be up in a week so feel free to check there!
   — DrL

September 12, 2005
I am a precertification nurse and will tell you that all plans have specific requirements. Typically, for this issue, the criteria will want documentation by the surgeon that the excess skin is causing chronic skin breakdown,yease infections or rashes that don't respond to conservative treatment ie:topical ointments, oral medications.(antifunguals, antibiotics)They will require a list of all medications and duration of use. They may also require documentation of 18 months of stabilized weight maintainence. I recommend you contact your insurance company's customer service dept. and ask for a copy of their criteria regarding this issue. They are obligated to provide this information to you.
   — Melody K.




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