Guest guest Posted September 6, 2006 Report Share Posted September 6, 2006 , From my understanding it is considered medical based on the problems that occure with the excess skin such as rashes and infections. They don't see it as cosmetic in that situation. You would have to talk to your doctor and insurance company and have documentation that excess skin is causing issues to have it covered. Not sure on all this, but this was my understanding. Shauna Parten wrote: Did I read that correctly? Did someone here have a tummy tuck done, covered by their insurance? How can we do that? I thought that would definitely be considered " elective " surgery.... Does anyone know?? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2006 Report Share Posted September 6, 2006 For Kaiser in California, I have been told if you end up with a hernia, Kaiser will cover the tummy tuck. I have a friend who had the GBS and she has had the tummy tuck....however, she has gained back almost half her weight, has developed hypoglecimia, as she eats candy when her blood sugar drops! I will be anxious to tell her about CHEESE! We were working on Grad Night for our oldest and the week she got back from surgery in San Diego, she was eating cake, chips, etc. I was so shocked and saw her dump a number of times....it almost freaked me out to the point of not wanting the surgery....however, I overcame my fear!!! --- Parten wrote: > Did I read that correctly? Did someone here have a > tummy tuck done, covered > by their insurance? How can we do that? I thought > that would definitely be > considered " elective " surgery.... Does anyone > know?? > > > > > > > [Non-text portions of this message have been > removed] > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2006 Report Share Posted September 6, 2006 Hi I am 14 days post op tummy tuck ( abdominoplasty ). Mine was paid for by insurance. Lori ----------------------------------------------- > To: Gastric_Bypass_Family ; GastricBypass-LOSERS > From: PATTYPEDD@... > Date: Wed, 6 Sep 2006 20:56:55 -0500 > Subject: Tummy Tucks covered by your insurance...? > > Did I read that correctly? Did someone here have a tummy tuck done, covered > by their insurance? How can we do that? I thought that would definitely be > considered " elective " surgery.... Does anyone know?? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2006 Report Share Posted September 6, 2006 , That is pretty much what I was told by Kaiser as well, right after they told me to start saving my money for my surgery! Mike T Re: Tummy Tucks covered by your insurance...? , From my understanding it is considered medical based on the problems that occure with the excess skin such as rashes and infections. They don't see it as cosmetic in that situation. You would have to talk to your doctor and insurance company and have documentation that excess skin is causing issues to have it covered. Not sure on all this, but this was my understanding. Shauna Parten wrote: Did I read that correctly? Did someone here have a tummy tuck done, covered by their insurance? How can we do that? I thought that would definitely be considered " elective " surgery.... Does anyone know?? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2006 Report Share Posted September 6, 2006 > > Did I read that correctly? Did someone here have a tummy tuck done, covered > by their insurance? How can we do that? I thought that would definitely be > considered " elective " surgery.... Does anyone know?? > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2006 Report Share Posted September 6, 2006 Some insurance companies will cover it if there are " hygeine " issues and such. People have suggested documenting rashes, etc. every time you get them. One woman called the doctor every time so she could get some prescription cream for it. This she used as documentation. I'll have to find the link, but she posted the letters she wrote that got hers approved. The American Society of Plastic Surgeons have a document on their website recommending insurance coverage criteria for the removal of skin following massive weight loss. It might have some information to use when dealing with the insurance company. Basically, they differentiate between when skin removal is " cosmetic " and when it is considered " reconstructive " . I don't know if mine covers it, but I've already started thinking about it. I think a tummy tuck can be had for about $3500 if you're lucky. I'll probably start saving now just in case. > > > Did I read that correctly? Did someone here have a > > tummy tuck done, covered > > by their insurance? How can we do that? I thought > > that would definitely be > > considered " elective " surgery.... Does anyone > > know?? > > > > > > > > > > > > > > [Non-text portions of this message have been > > removed] > > > > > > > __________________________________________________ > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 6, 2006 Report Share Posted September 6, 2006 I had such trouble with skin irriations before surgery, but since surgery, my blood sugar is under control and no more irritations...isn't that just peachy? I still have this pink inner tube under my belly button...arrrrrrrrrrrgh!!! --- W wrote: > Some insurance companies will cover it if there are > " hygeine " issues > and such. People have suggested documenting rashes, > etc. every time > you get them. One woman called the doctor every time > so she could get > some prescription cream for it. This she used as > documentation. I'll > have to find the link, but she posted the letters > she wrote that got > hers approved. > > The American Society of Plastic Surgeons have a > document on their > website recommending insurance coverage criteria for > the removal of > skin following massive weight loss. It might have > some information to > use when dealing with the insurance company. > Basically, they > differentiate between when skin removal is > " cosmetic " and when it is > considered " reconstructive " . > > I don't know if mine covers it, but I've already > started thinking > about it. I think a tummy tuck can be had for about > $3500 if you're > lucky. I'll probably start saving now just in case. > > > > > > > > > Did I read that correctly? Did someone here > have a > > > tummy tuck done, covered > > > by their insurance? How can we do that? I > thought > > > that would definitely be > > > considered " elective " surgery.... Does anyone > > > know?? > > > > > > > > > > > > > > > > > > > > > [Non-text portions of this message have been > > > removed] > > > > > > > > > > > > __________________________________________________ > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Are you in any pain Lori? How do you feel? Australia 321/252/176 Tummy Tucks covered by your insurance...? > > Did I read that correctly? Did someone here have a tummy tuck done, covered > by their insurance? How can we do that? I thought that would definitely be > considered " elective " surgery.... Does anyone know?? > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 I am starting to feel good. The first week was a challange and I am not a wimp. My bladder decided not to work after the general anesthesia and I had a cath for about a week then developed a major UTI. Now that thats fixed.... I am great. The pain was not an issue for me. I took some pain meds the first couple of days but I really did not need them after that. If my bladder had worked this would have been a breeze. I am still very pleased and do not regret it. There is a great website called Tuck that Tummy and they have a great messageboard. It has been a great source of info. Lori ----------------------------------------------- > To: GastricBypass-LOSERS > From: ginaml@... > Date: Thu, 7 Sep 2006 22:25:02 +0930 > Subject: Re: Tummy Tucks covered by your insurance...? > > Are you in any pain Lori? How do you feel? > > Australia > 321/252/176 > Tummy Tucks covered by your insurance...? > > > > Did I read that correctly? Did someone here have a tummy tuck done, covered > > by their insurance? How can we do that? I thought that would definitely be > > considered " elective " surgery.... Does anyone know?? > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Wow! Thanks le!! _____ From: GastricBypass-LOSERS [mailto:GastricBypass-LOSERS ] On Behalf Of le Sent: Wednesday, September 06, 2006 9:54 PM To: GastricBypass-LOSERS Subject: Re: Tummy Tucks covered by your insurance...? > > Did I read that correctly? Did someone here have a tummy tuck done, covered > by their insurance? How can we do that? I thought that would definitely be > considered " elective " surgery.... Does anyone know?? > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Thanks Mike. I will check into this further. Sounds very interesting!! At least, worth a shot, right? _____ From: GastricBypass-LOSERS [mailto:GastricBypass-LOSERS ] On Behalf Of Mike Tune Sent: Wednesday, September 06, 2006 9:27 PM To: GastricBypass-LOSERS Subject: Re: Tummy Tucks covered by your insurance...? , That is pretty much what I was told by Kaiser as well, right after they told me to start saving my money for my surgery! Mike T Re: Tummy Tucks covered by your insurance...? , From my understanding it is considered medical based on the problems that occure with the excess skin such as rashes and infections. They don't see it as cosmetic in that situation. You would have to talk to your doctor and insurance company and have documentation that excess skin is causing issues to have it covered. Not sure on all this, but this was my understanding. Shauna Parten <PATTYPEDDaol (DOT) <mailto:PATTYPEDD%40aol.com> com> wrote: Did I read that correctly? Did someone here have a tummy tuck done, covered by their insurance? How can we do that? I thought that would definitely be considered " elective " surgery.... Does anyone know?? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 7, 2006 Report Share Posted September 7, 2006 Debi, Don't blame you.... I don't see how anybody in their right mind would sabotage themselves after risking so much!!! I mean, we do risk our very lives to get this surgery which most likely will lenghten and enrich our lives only to turn around and cheat and gain it all right back...?? Don't make sense to me. Maybe I'm just " not there " yet? So far (I've only had my surgery Aug 22) I am happy I am eating so little. It gives me a sense of accomplishment. I am proud of myself. I control food. Food no longer controls me. Does that make sense?? I know I won't be perfect for the rest of my life and an occasional " forbidden " item will cross my lips eventually, but no longer in the amounts I was used to. Maybe I'm still in the " honeymoon " period, huh? LOL _____ From: GastricBypass-LOSERS [mailto:GastricBypass-LOSERS ] On Behalf Of Debi Ernser Sent: Wednesday, September 06, 2006 9:22 PM To: GastricBypass-LOSERS Subject: Re: Tummy Tucks covered by your insurance...? For Kaiser in California, I have been told if you end up with a hernia, Kaiser will cover the tummy tuck. I have a friend who had the GBS and she has had the tummy tuck....however, she has gained back almost half her weight, has developed hypoglecimia, as she eats candy when her blood sugar drops! I will be anxious to tell her about CHEESE! We were working on Grad Night for our oldest and the week she got back from surgery in San Diego, she was eating cake, chips, etc. I was so shocked and saw her dump a number of times....it almost freaked me out to the point of not wanting the surgery....however, I overcame my fear!!! --- Parten <PATTYPEDDaol (DOT) <mailto:PATTYPEDD%40aol.com> com> wrote: > Did I read that correctly? Did someone here have a > tummy tuck done, covered > by their insurance? How can we do that? I thought > that would definitely be > considered " elective " surgery.... Does anyone > know?? > > > > > > > [Non-text portions of this message have been > removed] > > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
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