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04-29-2008, 10:16 AM
| #1 (permalink) |
| WLS Guru  Join Date: Jan 2008 Location: Ft. Lauderdale, Florida
Posts: 414
Blog Entries: 1 Weight Statistics 8 years old.... Start Date:
April 3, 2007 Surgery Date:
5' 2" Height: 314 lb Start Weight:
166 lb Current Weight:
130 lb Goal Weight:
148 lb Weight Loss:
36 lb Lb Left to Lose:
47.1337579618 % % Lost:
April 2008 Goal Date:
Body Mass Index 57.4250780437 BMI Start:
30.3584807492 BMI Current:
23.7747138398 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass   |  Plastic Surgery & Insurance Hi there! A couple of weeks ago, I went for a plastic surgery consult. All very positive. He wants to do a lower body lift, arms, boobs. The entire thing will cost approx. $37,000. He is a specialist for bariatric patients. I asked about insurance and he said he has never gotten insurance to cover the proceedures! He had a woman with a 26 lb "apron" and all the issues relating to it, and couldn't get ins. to cover! I have Vista, they covered my surgery 100%, even the co-pays! Now $37,000 is not in my budget, it's like buying a car!!!!! Any thoughts?
__________________ 314 lbs To 166lbs     Today is a NEW DAY. You will get out of it just what you put into it.  |
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Yes, you can often get insurance cover for your Weight Loss Surgery. Our own Craig "Big-T" Thompson has been there and done that, and he's written an e-book about it.  |
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04-29-2008, 10:50 AM
| #2 (permalink) |
| WLS Mentor  Join Date: Dec 2007 Location: Hudson Falls, NY
Posts: 1,323
Weight Statistics 12-19-07 Start Date:
1-29-08 Surgery Date:
5' 3" Height: 286 lb Start Weight:
199 lb Current Weight:
150 lb Goal Weight:
87 lb Weight Loss:
49 lb Lb Left to Lose:
30.4195804196 % % Lost:
eventually Goal Date:
Body Mass Index 50.6570924666 BMI Start:
35.2474174855 BMI Current:
26.5684051398 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | That's like 2 1/2 cars for me!!!!!!! Who can afford that??? Obviously enough people to keep him in business, but it seems extreme that no one gets ins approval.
__________________ Kelly  5'3"    |
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04-29-2008, 10:55 AM
| #3 (permalink) |
| Cub Reporter  Join Date: Mar 2008 Location: outside of Nashville, TN
Posts: 58
Weight Statistics 3/16/08 Start Date:
not sure yet Surgery Date:
5' 6" Height: 333 lb Start Weight:
320 lb Current Weight:
150 lb Goal Weight:
13 lb Weight Loss:
170 lb Lb Left to Lose:
3.9039039039 % % Lost:
Body Mass Index 53.7417355372 BMI Start:
51.6437098255 BMI Current:
24.2079889807 BMI Goal:
| Call your insurance company and see what the coverage is. Ask them to provide you with the requirements for it to be covered. See if you can follow those. Even if part of it is covered, the hospital stay will be because it is too hard to separate the charges per procedure most of the time. Take pictures if you have any skin irritation from the skin and document clearly any pain or problems that skin might be causing. |
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04-29-2008, 11:27 AM
| #4 (permalink) |
| Seasoned Veteran  Join Date: Jun 2007 Location: North Texas
Posts: 2,691
Blog Entries: 1 Weight Statistics I've lost/gained my whole life!!! Start Date:
Aug 1, 2007 Surgery Date:
5' 8" Height: 280 lb Start Weight:
155 lb Current Weight:
150 lb Goal Weight:
125 lb Weight Loss:
5 lb Lb Left to Lose:
44.6428571429 % % Lost:
Summer 2008 Goal Date:
Body Mass Index 42.5692041522 BMI Start:
23.5650951557 BMI Current:
22.8049307958 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass  | I personally am against the body lift because of this...it MIGHT be less expensive if they do a leg lift and tummy tuck SEPARATELY, versus the lift. Something to check into....I will probably wind up breaking mine up into several surgeries, due to the cost issue....I rescheduled my consult for June 7th, so I'll let you know what I find out then! |
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04-29-2008, 11:34 AM
| #5 (permalink) |
| WLS Master Guru Join Date: Jan 2008 Location: Troy,ny
Posts: 653
Weight Statistics Since birth:) Start Date:
postponed until ? Surgery Date:
5' 6" Height: 319 lb Start Weight:
308 lb Current Weight:
150 lb Goal Weight:
11 lb Weight Loss:
158 lb Lb Left to Lose:
3.44827586207 % % Lost:
sometime in 2009 Goal Date:
Body Mass Index 51.4823232323 BMI Start:
49.7070707071 BMI Current:
24.2079889807 BMI Goal:
Weight Loss Method - | OMG. You would think they would make it more affordable or that ins. would cover it because it is for health issues. I would call your insurance company to see if they would cover it for ant reason or at least some.
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04-29-2008, 11:42 AM
| #6 (permalink) |
| Seasoned Veteran  Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 3,030
Blog Entries: 1 Weight Statistics September 19th 2007 Start Date:
September 19th 2007 Surgery Date:
5' 10" Height: 363 lb Start Weight:
221 lb Current Weight:
165 lb Goal Weight:
142 lb Weight Loss:
56 lb Lb Left to Lose:
39.1184573003 % % Lost:
12/31/09 Goal Date:
Body Mass Index 52.0793877551 BMI Start:
31.7067346939 BMI Current:
23.6724489796 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I will tell you alot of plastic people dont like to even file for the insurance to try to pay. Its a long process. They would have to get approval before doing so and then only get paid back just a small percentage of what they billed. The lady with the apron weighing that much truly needed it done and the insurance should have paid. I will say that what they are probally looking for in skin removal especially from the tummy area is a hernia or tumor to say ok we will pay for it only because these other problems are here. I know the skin looks so ugly to us.......and surely its not pretty but......we have our health to be so grateful for after the initial surgery. If anyone wants it done go for it ! If you can afford it go for it! If you still have questions call your insurance and see if they have any provisions what so ever to at least get the tummy skin if that is irritating you. I know of no other insurance company that will do any other skin removal other than the tummy. BTW the price the man quoted you honey is just for his service......its not including the hosptial im sure. Good luck with all this. |
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04-29-2008, 12:57 PM
| #7 (permalink) |
| WLS Guru Join Date: Jan 2008 Location: Ft. Lauderdale, Florida
Posts: 414
Blog Entries: 1 Weight Statistics 8 years old.... Start Date:
April 3, 2007 Surgery Date:
5' 2" Height: 314 lb Start Weight:
166 lb Current Weight:
130 lb Goal Weight:
148 lb Weight Loss:
36 lb Lb Left to Lose:
47.1337579618 % % Lost:
April 2008 Goal Date:
Body Mass Index 57.4250780437 BMI Start:
30.3584807492 BMI Current:
23.7747138398 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I called the insurance company, they DO NOT cover it..... As for the Dr. The total was for the hospital and the ansthesiologist (sp?) and his fees... not bad I thought.... There is a rumor that a particular university in my area that has a burn unit will do a tummy tuck for by-pass patients free because you donate your skin to the unit. I asked my Dr. (not plastic surgeon, but bariatric) and he said it was true... So I am now off to research that... But I know I am going to have to be comfortable in my skin for awhile! DH and I were joking and we said I looked like one of those water tubes that the kids play with hahahahaha Even with all my saggy skin, I am wearing a size 12!!!!! And that's from a 34!!!!!!
__________________ 314 lbs To 166lbs Today is a NEW DAY. You will get out of it just what you put into it. |
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04-29-2008, 01:52 PM
| #8 (permalink) |
| Seasoned Veteran Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 3,030
Blog Entries: 1 Weight Statistics September 19th 2007 Start Date:
September 19th 2007 Surgery Date:
5' 10" Height: 363 lb Start Weight:
221 lb Current Weight:
165 lb Goal Weight:
142 lb Weight Loss:
56 lb Lb Left to Lose:
39.1184573003 % % Lost:
12/31/09 Goal Date:
Body Mass Index 52.0793877551 BMI Start:
31.7067346939 BMI Current:
23.6724489796 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | If that was the total fees then no it wasnt a bad price. Good luck with this! |
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04-29-2008, 04:28 PM
| #9 (permalink) |
| Cub Reporter Join Date: Mar 2008 Location: outside of Nashville, TN
Posts: 58
Weight Statistics 3/16/08 Start Date:
not sure yet Surgery Date:
5' 6" Height: 333 lb Start Weight:
320 lb Current Weight:
150 lb Goal Weight:
13 lb Weight Loss:
170 lb Lb Left to Lose:
3.9039039039 % % Lost:
Body Mass Index 53.7417355372 BMI Start:
51.6437098255 BMI Current:
24.2079889807 BMI Goal:
| Wow--the surgery would be free if you donate the skin to the burn center? What a great thing--you feel better and you help someone along the way. Two great reasons to look into it. |
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04-29-2008, 05:00 PM
| #10 (permalink) |
| Seasoned Veteran Join Date: Jun 2007 Location: North Texas
Posts: 2,691
Blog Entries: 1 Weight Statistics I've lost/gained my whole life!!! Start Date:
Aug 1, 2007 Surgery Date:
5' 8" Height: 280 lb Start Weight:
155 lb Current Weight:
150 lb Goal Weight:
125 lb Weight Loss:
5 lb Lb Left to Lose:
44.6428571429 % % Lost:
Summer 2008 Goal Date:
Body Mass Index 42.5692041522 BMI Start:
23.5650951557 BMI Current:
22.8049307958 BMI Goal:
Weight Loss Method Roux en Y Gastric Bypass | I heard the same thing about the Houston Children's burn unit...I'm checking into that too! |
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