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Old 07-27-2007, 12:41 AM   #1 (permalink)
Big Loser
 
Join Date: Jun 2007
Location: Colorado
Posts: 101

Weight Statistics

September 11, 2007
Surgery Date:
Height:
253 lb
Start Weight:
233 lb
Current Weight:
130 lb
Goal Weight:
20 lb
Weight Loss:
103 lb
Lb Left to Lose:
7.90513833992 %
% Lost:

Body Mass Index
41
BMI Start:
41
BMI Current:
23
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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How do you know if your insurance will cover PS??
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Alt Weight Loss Surgery Insurance
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.

   
Old 07-27-2007, 06:29 AM   #2 (permalink)
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Join Date: Jan 2006
Location: SOMEPLACE LONG ISLAND, NY
Posts: 6,809

Weight Statistics

June 1, 2005
Start Date:
5' 5"
Height:
310 lb
Start Weight:
167 lb
Current Weight:
159 lb
Goal Weight:
143 lb
Weight Loss:
8 lb
Lb Left to Lose:
46.1290322581 %
% Lost:

Body Mass Index
51.5810650888
BMI Start:
27.7872189349
BMI Current:
26.4560946746
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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YOU get a consult from a PS and see.
USUALLY if you have issues from the extra
skin there is some chance it might get covered.
OF course nothing is a quarantee but consult
with a PS....!!!!
GOOD LUCK
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Old 07-27-2007, 09:01 AM   #3 (permalink)
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Join Date: Apr 2007
Location: NY
Posts: 10,174

Weight Statistics

4/19/2007
Surgery Date:
5' 9"
Height:
260 lb
Start Weight:
152 lb
Current Weight:
165 lb
Goal Weight:
108 lb
Weight Loss:
-13 lb
Lb Left to Lose:
41.5384615385 %
% Lost:

Body Mass Index
38.3910943079
BMI Start:
22.4440243646
BMI Current:
24.36357908
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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yeah i think you need to get the surgeon involved and have the submit something for approval and then you find out. OR you could call ahead and see what their criteria is...BUT i wouldnt recommend that anyway because that changes over time. and from what i understand you have to be stabilzed in your weight in order to have it, what a year? by then you might have toned all the loose skin up LOL!
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Old 07-27-2007, 06:19 PM   #4 (permalink)
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Join Date: Mar 2007
Location: Floyd County Virginia
Posts: 9,445
Blog Entries: 6

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 Index
52.0793877551
BMI Start:
32.4240816327
BMI Current:
24.3897959184
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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Its gonna depend on your insurance policy itself. They do build in a clause to them for plastics.
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Old 07-29-2007, 11:28 PM   #5 (permalink)
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Join Date: Apr 2007
Location: AR
Posts: 28

Weight Statistics

02/05/2003
Surgery Date:
5' 2"
Height:
325 lb
Start Weight:
115 lb
Current Weight:
140 lb
Goal Weight:
210 lb
Weight Loss:
-25 lb
Lb Left to Lose:
64.6153846154 %
% Lost:

Body Mass Index
59.4367845994
BMI Start:
21.0314776275
BMI Current:
25.6035379813
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
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It depends, some insurance companies you can call them and they will tell what they require, others won't. The insurance company that I had at the time of my lower body lift told me that if they covered the gastric bypass and it was the cause of the excess skin that they would cover the plastics.

My plastic surgeon did not want to submit the lower body lift, he only wanted to submit the tummy tuck, because he was sure that was all they would cover and he thought it was a waste of time submitting it.

I told him that I wanted to try, worst case scenario they would say no and we would resubmit for just the tummy tuck. They said yes. They paid 100%! My surgeon told me that to this day I am the only lower body lift that has ever been covered by insurance, but sometimes I think the problem is that the surgeons don't want to ask/submit it.

For me it would be really important to find a doctor/his staff that are willing to go to bat for you and fight for your plastics to be covered.

Plastic surgery in general is a self pay business, and a lot of them don't want to have to deal with the insurance companies, they can be real pain in the butts.

My arms and breasts would have been covered too, my doctors office got a verbal approval from my insurance company, but they needed to have the pictures in order to get the written approval, my doctors office dropped the ball and my insurance changed and my new insurance company has a written exclusion, they only cover plastic surgery if you are disfigured in a car accident/fire/ or cancer. I have been denied 3 times.

My doctor has been really great about it and has offered to do the surgeries for the cost of anesthesia, since it was his office staff that dropped the ball. But since then I have found that I have a genetic blood disorder (after 14 blood transfusion and 4 different stays in ICU) and I am really scared to have any more surgeries right now.

Wow, I did not mean to write a book, sorry! I hope this helps!
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Old 07-29-2007, 11:47 PM   #6 (permalink)
Big Loser
 
Join Date: Jun 2007
Location: Colorado
Posts: 101

Weight Statistics

September 11, 2007
Surgery Date:
Height:
253 lb
Start Weight:
233 lb
Current Weight:
130 lb
Goal Weight:
20 lb
Weight Loss:
103 lb
Lb Left to Lose:
7.90513833992 %
% Lost:

Body Mass Index
41
BMI Start:
41
BMI Current:
23
BMI Goal:

Weight Loss Method
Roux en Y Gastric Bypass
Default

Very helpful thanks so much
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