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12-06-2011, 10:34 AM
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#1 (permalink)
| | Big Loser
Join Date: Nov 2010 Location: St Louis Missouri
Posts: 172
Weight Statistics Started pre-op liquid diet on 1/26/11 Start Date:
Feb 7th 2011 Surgery Date:
5' 7"
Height:
298 lb Start Weight:
145 lb Current Weight:
150 lb Goal Weight:
153 lb Weight Loss:
-5 lb Lb Left to Lose:
51.3422818792 % % Lost:
Feb 2012 Goal Date:
Body Mass Index46.6683002896 BMI Start:
22.7077300067 BMI Current:
23.4907551793 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
 |  Plastics Consultation Today
I am both very nervous and excited. Today I am meeting with a plastic surgeon for a consultation. This Dr is highly recommended by my surgeon who did my RNY surgery, and he specializes in body conturing/major weight loss areas. I called my insurance company and got the specifications to see what they might cover, and was told that as long as things were deemed "medically necessary" it would cover a panni, possibly a brachioplasty, and breast reduction. I am going to go for the consultation and see what the dr says. If my insurance will approve and cover anything, thats great, if not, well, thats ok too. My RNY surgeon is pleased with my results, and was the one who mentioned it to me, and I am happy with my results too. I would like to see 150 but if I dont, then I'm not going to get upset about it. My biggest problem areas are my stomach, it gets in the way when I exercise, and Ive started running, trying to get ready for a fall marathon- the swaying tummy is really aggrevating, let me tell ya, plus all the nasty sweating and itching. My "girls" could use some work-they look like tube socks with tennis balls at the end, and of course I do have the bat wings going. Financially I cannot afford to pay for this right now, so I'm at the mercy of the insurance company. I'm really nervous about standing almost naked in front of someone I dont even know. My boyfriend has yet to see me completley naked since I've lost 140 lbs. I heard that they may take pictures to submit to the insurance company!  I really feel sorry for the person who has to see mine!! I will keep everyone updated on the progress. Wish me luck!!
__________________ Rhonda _________________________ My three reasons, for everything I do.
Mackenzie (8) Emma (3) and Madison (11)
 FEAR STOPS WHERE CONFIDENCE STARTS!!
You never know how strong you are, until being strong is the only choice you have!   | 
|  |  | Weight Loss Surgery Insurance | | | |
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12-07-2011, 06:29 AM
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#2 (permalink)
| | Super Moderator
Join Date: Nov 2005 Location: Tokyo, Japan
Posts: 24,788
5' 5"
Height:
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Hope the meeting went well.
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12-07-2011, 07:49 AM
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#3 (permalink)
| | Seasoned Veteran
Join Date: Oct 2010 Location: S. Jersey
Posts: 2,481
Weight Statistics ?? Most recently Oct. 2010 Start Date:
January 31 2011 Surgery Date:
5' 9"
Height:
342 lb Start Weight:
194 lb Current Weight:
189 lb Goal Weight:
148 lb Weight Loss:
5 lb Lb Left to Lose:
43.2748538012 % % Lost:
no pressure... 1 year? 1-2012 Goal Date:
Body Mass Index50.4990548204 BMI Start:
28.6456626759 BMI Current:
27.9073724008 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Please keep posting and tell us how it goes. I want my arms done so badly.
And, let me know what the insurance says... mine told me when I was approved,
"loose skin" would not be removed at their expense. I think they would do a panni removal. But right now, it is my arms that creep me out.
Let me know how it goes.
__________________
Pretty Woman   | |
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12-07-2011, 08:00 AM
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#4 (permalink)
| | WLS Master Guru
Join Date: Feb 2011 Location: Pittsburgh, PA
Posts: 861
Weight Statistics 09/01/10 Start Date:
04/11/11 Surgery Date:
5' 9"
Height:
301 lb Start Weight:
172 lb Current Weight:
165 lb Goal Weight:
129 lb Weight Loss:
7 lb Lb Left to Lose:
42.8571428571 % % Lost:
Body Mass Index44.4450745642 BMI Start:
25.3971854652 BMI Current:
24.36357908 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Please let us know what the doctor recommended for you. I'm interested to learn, because I've read about the pros of waiting a year after your weight is settled before having plastics. And I'm interested in learning about the insurance end, too!
I hope it went well!
__________________
Highest weight: 301 ~ Pre-op diet weight: 295 ~ Surgery weight: 283 Goal #1: 60lbs lost before 7/4/11 vacation
Met: 6/24/11 (10.5 weeks)
Goal #2: 75lbs lost before Labor Day 2011
Met: 7/29/11 (15.5 weeks)
Goal #3: 90lbs lost by Oct. 11 (6 months post-op)
Met: 9/15/11 (22.5 weeks)
Goal#4: 100 lbs lost by Halloween
Met: 10/30/11 (28.5 weeks)
Final goal: GOAL! 130 lbs lost by 1-yr anniversary
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12-07-2011, 08:57 AM
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#5 (permalink)
| | Guru In Training
Join Date: Nov 2011 Location: Escanaba, Mi
Posts: 253
Weight Statistics June 2011 Start Date:
Oct. 4, 2011 Surgery Date:
5' 5"
Height:
280 lb Start Weight:
175 lb Current Weight:
155 lb Goal Weight:
105 lb Weight Loss:
20 lb Lb Left to Lose:
37.5 % % Lost:
Body Mass Index46.5893491124 BMI Start:
29.1183431953 BMI Current:
25.7905325444 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Good luck and keep us posted. I have plans to try and go that path. So hearing your experience will help.
__________________  | |
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12-07-2011, 03:16 PM
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#6 (permalink)
| | Big Loser
Join Date: Nov 2010 Location: St Louis Missouri
Posts: 172
Weight Statistics Started pre-op liquid diet on 1/26/11 Start Date:
Feb 7th 2011 Surgery Date:
5' 7"
Height:
298 lb Start Weight:
145 lb Current Weight:
150 lb Goal Weight:
153 lb Weight Loss:
-5 lb Lb Left to Lose:
51.3422818792 % % Lost:
Feb 2012 Goal Date:
Body Mass Index46.6683002896 BMI Start:
22.7077300067 BMI Current:
23.4907551793 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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The consultation went very well, although it was a little humiliating. Having to stand completely naked in front of someone while they take photos of your biggest flaws was not my most favorite thing to do, but I survived. The surgeon said he would document everything and send his notes along with the photos to the insurance company. He said that it could take up to a month to hear back, whether they approved or denied my claim. I am really hoping that they will approve me and that I MIGHT be able to have the surgery this year-I've already met my insurance deductible. I guess that would be in a perfect world. I have decided to just sit back and let things happen. If it is meant to be, then it will happen. I guess on a good note- my stomach had a terrible rash where the pannis hangs down, and that was documented and photographed, I guess that can only help my case, but it sure does hurt. I have some steroid cream that I've been using. I will keep everyone updated on my progress.
__________________ Rhonda _________________________ My three reasons, for everything I do.
Mackenzie (8) Emma (3) and Madison (11)
FEAR STOPS WHERE CONFIDENCE STARTS!!
You never know how strong you are, until being strong is the only choice you have! | |
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12-07-2011, 03:23 PM
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#7 (permalink)
| | Seasoned Veteran
Join Date: Apr 2007 Location: Central Virginia
Posts: 2,952
Weight Statistics 4/30/2007 Start Date:
9/5/07 Surgery Date:
5' 4"
Height:
233 lb Start Weight:
127 lb Current Weight:
125 lb Goal Weight:
106 lb Weight Loss:
2 lb Lb Left to Lose:
45.4935622318 % % Lost:
Body Mass Index39.9899902344 BMI Start:
21.7971191406 BMI Current:
21.4538574219 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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The rash will work big in your favor. Especially if it keeps coming back. Some insurance companies will deny at first but if you keep going to the doctor for rashes eventually they will cover the operation. Keep us posted on how it's going.
__________________
Highest 233, Lowest 122, Current 127
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12-07-2011, 04:38 PM
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#8 (permalink)
| | Seasoned Veteran
Join Date: Oct 2010 Location: S. Jersey
Posts: 2,481
Weight Statistics ?? Most recently Oct. 2010 Start Date:
January 31 2011 Surgery Date:
5' 9"
Height:
342 lb Start Weight:
194 lb Current Weight:
189 lb Goal Weight:
148 lb Weight Loss:
5 lb Lb Left to Lose:
43.2748538012 % % Lost:
no pressure... 1 year? 1-2012 Goal Date:
Body Mass Index50.4990548204 BMI Start:
28.6456626759 BMI Current:
27.9073724008 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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My doctor said I needed to document my panni rash 3 times with him, then it is approved. The anti fungal cream has worked well.. I guess the rash would go away forever if I use the cream all the time (til I die?!) That is the only thing covered by my plan.
Anyway, are you doing your arms? What is he charging for them?
Thanks.
__________________
Pretty Woman | |
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12-08-2011, 08:33 AM
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#9 (permalink)
| | Big Loser
Join Date: Nov 2010 Location: St Louis Missouri
Posts: 172
Weight Statistics Started pre-op liquid diet on 1/26/11 Start Date:
Feb 7th 2011 Surgery Date:
5' 7"
Height:
298 lb Start Weight:
145 lb Current Weight:
150 lb Goal Weight:
153 lb Weight Loss:
-5 lb Lb Left to Lose:
51.3422818792 % % Lost:
Feb 2012 Goal Date:
Body Mass Index46.6683002896 BMI Start:
22.7077300067 BMI Current:
23.4907551793 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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My insurance company said they will approve the brachioplasty if it is medically necessary- I also had a rash underneath my arms, which was documented with photos- I get this rash because I run, nearly 5 miles every day, and its from my arms rubbing my clothes. I've tried every mositure wicking garment out there, even spent over $100 on Under Armor, still it wont go away. The surgeon said if insurance doesnt approve the brachioplasty, it would be right at $3500 for both arms.
__________________ Rhonda _________________________ My three reasons, for everything I do.
Mackenzie (8) Emma (3) and Madison (11)
FEAR STOPS WHERE CONFIDENCE STARTS!!
You never know how strong you are, until being strong is the only choice you have! | |
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12-08-2011, 10:45 AM
|
#10 (permalink)
| | Seasoned Veteran
Join Date: Apr 2007 Location: Central Virginia
Posts: 2,952
Weight Statistics 4/30/2007 Start Date:
9/5/07 Surgery Date:
5' 4"
Height:
233 lb Start Weight:
127 lb Current Weight:
125 lb Goal Weight:
106 lb Weight Loss:
2 lb Lb Left to Lose:
45.4935622318 % % Lost:
Body Mass Index39.9899902344 BMI Start:
21.7971191406 BMI Current:
21.4538574219 BMI Goal:
Weight Loss MethodRoux en Y Gastric Bypass
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Just FYI, usually the quote that the PS gives you is just HIS fee, it doesn't include anesthesia and OR fees. you should check. I hope your insurance pays for it.
__________________
Highest 233, Lowest 122, Current 127
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