Question:
Saggy and baggy removal approval???? Aetna PPO?

Has ANYONE been approved for a lower body lift (stomach, thighs and butt), breast reduction and lift, and arm skin removal from AETNA PPO?? It's open enrollment time and I need to know what to go with in order to get the plastic surgery ball rolling. HELP ME PLEASE!! :) Thanks!    — Paula Prichard (posted on November 4, 2002)

November 4, 2002
Hey There! You can go to aetna.com and there it tells you what they cover. (you may need the proper terminology). I was looking into it myself for when the time comes (i am still pre-op) and I know if your skin hangs lower than your pubic bone they will cover it. I am not sure about the rest. Good Luck!! :-)
   — Pizofret

November 5, 2002
I've got Aetna, and while I don't yet need plastic surgery (I'm 6 weeks post-op), their website only specifies that they will cover medically necessary tummy tucks. Nothing at all on there about anything else. Most insurance companies only cover the tummy tuck or panni, though if you can give them some really bad pictures, you might get something else covered. I plan to take lots of pictures of everything hanging and have the doctor write a letter about "reconstructive surgery" and see how that goes.
   — ediecat

November 5, 2002
Aetna has a policy for an abdominoplasty (tummy tuck) and fro breast reduction, but they will not cover just a lift, and I do not see where they will cover a lower body lift. I know that they are hard to get this covered through. I am workingon the breast reduction and the TT now. From what I have heard from other people, an initial denial for the TT is to be expected, and an appeal will be necessary. Good Luck to you!
   — Vicki L.

March 10, 2003
I was just approved for the TT and upper arms. They told the doc to submit the others(hips, thighs, butt, and breasts) when he is ready. Good Luck! Mary Beth
   — Beffy W.