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04-29-2008, 10:16 AM
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#1 (permalink)
| | WLS Guru
Join Date: Jan 2008 Location: Ft. Lauderdale, Florida
Posts: 435
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 Index57.4250780437 BMI Start:
30.3584807492 BMI Current:
23.7747138398 BMI Goal:
Weight Loss MethodRoux 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?
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04-29-2008, 10:50 AM
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#2 (permalink)
| | Seasoned Veteran
Join Date: Dec 2007 Location: Buffalo, NY
Posts: 2,573
Weight Statistics 12-19-07 Start Date:
1-29-08 Surgery Date:
5' 3"
Height:
286 lb Start Weight:
165 lb Current Weight:
150 lb Goal Weight:
121 lb Weight Loss:
15 lb Lb Left to Lose:
42.3076923077 % % Lost:
eventually Goal Date:
Body Mass Index50.6570924666 BMI Start:
29.2252456538 BMI Current:
26.5684051398 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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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.
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04-29-2008, 10:55 AM
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#3 (permalink)
| | Guru In Training
Join Date: Mar 2008 Location: Owensboro, KY
Posts: 294
Weight Statistics 3/16/08 Start Date:
3/10/2009 Surgery Date:
5' 6"
Height:
333 lb Start Weight:
216 lb Current Weight:
175 lb Goal Weight:
117 lb Weight Loss:
41 lb Lb Left to Lose:
35.1351351351 % % Lost:
Body Mass Index53.7417355372 BMI Start:
34.8595041322 BMI Current:
28.2426538108 BMI Goal:
Weight Loss MethodSleeve Gastrectomy
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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.
__________________
 Morning of surgery Keeley HW: 333/ SW:324  | |
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04-29-2008, 11:27 AM
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#4 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: North Texas
Posts: 5,236
Weight Statistics I've lost/gained my whole life!!! Start Date:
Aug 1, 2007 Surgery Date:
5' 8"
Height:
280 lb Start Weight:
154 lb Current Weight:
150 lb Goal Weight:
126 lb Weight Loss:
4 lb Lb Left to Lose:
45 % % Lost:
Summer 2008 Goal Date:
Body Mass Index42.5692041522 BMI Start:
23.4130622837 BMI Current:
22.8049307958 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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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
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#5 (permalink)
| | Seasoned Veteran
Join Date: Jan 2008 Location: Troy,ny
Posts: 2,799
Weight Statistics Since birth:) Start Date:
August 5, 2009 Surgery Date:
5' 6"
Height:
319 lb Start Weight:
189 lb Current Weight:
150 lb Goal Weight:
130 lb Weight Loss:
39 lb Lb Left to Lose:
40.7523510972 % % Lost:
sometime in 2010 Goal Date:
Body Mass Index51.4823232323 BMI Start:
30.5020661157 BMI Current:
24.2079889807 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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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
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#6 (permalink)
| | Seasoned Veteran
Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 9,445
Weight Statistics September 19th 2007 Start Date:
September 19th 2007 June 18,2012 Surgery Date:
5' 10"
Height:
363 lb Start Weight:
226 lb Current Weight:
170 lb Goal Weight:
137 lb Weight Loss:
56 lb Lb Left to Lose:
37.741046832 % % Lost:
When I get there again Goal Date:
Body Mass Index52.0793877551 BMI Start:
32.4240816327 BMI Current:
24.3897959184 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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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.
__________________ Remember Tough times never last Tough people do... This Ribbon is for our Lady Lisa and all the women that fight this ugly disease. RIP Jerry my friend
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04-29-2008, 12:57 PM
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#7 (permalink)
| | WLS Guru
Join Date: Jan 2008 Location: Ft. Lauderdale, Florida
Posts: 435
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 Index57.4250780437 BMI Start:
30.3584807492 BMI Current:
23.7747138398 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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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!!!!!!
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04-29-2008, 01:52 PM
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#8 (permalink)
| | Seasoned Veteran
Join Date: Mar 2007 Location: Floyd County Virginia
Posts: 9,445
Weight Statistics September 19th 2007 Start Date:
September 19th 2007 June 18,2012 Surgery Date:
5' 10"
Height:
363 lb Start Weight:
226 lb Current Weight:
170 lb Goal Weight:
137 lb Weight Loss:
56 lb Lb Left to Lose:
37.741046832 % % Lost:
When I get there again Goal Date:
Body Mass Index52.0793877551 BMI Start:
32.4240816327 BMI Current:
24.3897959184 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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If that was the total fees then no it wasnt a bad price. Good luck with this!
__________________ Remember Tough times never last Tough people do... This Ribbon is for our Lady Lisa and all the women that fight this ugly disease. RIP Jerry my friend
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04-29-2008, 04:28 PM
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#9 (permalink)
| | Guru In Training
Join Date: Mar 2008 Location: Owensboro, KY
Posts: 294
Weight Statistics 3/16/08 Start Date:
3/10/2009 Surgery Date:
5' 6"
Height:
333 lb Start Weight:
216 lb Current Weight:
175 lb Goal Weight:
117 lb Weight Loss:
41 lb Lb Left to Lose:
35.1351351351 % % Lost:
Body Mass Index53.7417355372 BMI Start:
34.8595041322 BMI Current:
28.2426538108 BMI Goal:
Weight Loss MethodSleeve Gastrectomy
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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.
__________________
Morning of surgery Keeley HW: 333/ SW:324 | |
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04-29-2008, 05:00 PM
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#10 (permalink)
| | Seasoned Veteran
Join Date: Jun 2007 Location: North Texas
Posts: 5,236
Weight Statistics I've lost/gained my whole life!!! Start Date:
Aug 1, 2007 Surgery Date:
5' 8"
Height:
280 lb Start Weight:
154 lb Current Weight:
150 lb Goal Weight:
126 lb Weight Loss:
4 lb Lb Left to Lose:
45 % % Lost:
Summer 2008 Goal Date:
Body Mass Index42.5692041522 BMI Start:
23.4130622837 BMI Current:
22.8049307958 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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I heard the same thing about the Houston Children's burn unit...I'm checking into that too!
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