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Old 04-22-2008, 03:48 AM   #10 (permalink)
SueRN
Senior Member

Join Date: Oct 2007
Location: Oxford, NC
Surgeon: Dr Aurora Pryor, Duke
Posts: 329
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Mine was denied. I appealed and lost. I will be paying for that out of pocket in Nov when I have a couple of revisions done. As far as thighs go, they rarely get paid for. The only cases I have seen get approved have reallly been majorly extreme cases. I just reviewed a TT the other day and she didn't meet the criteria but her pannus hung to her friggin knees! I reviewed it with the medical director and basically told him if she was a kangaroo, she could carry me and him in her stomach and he let me approve it. See, some insurance comapnies do have a heart....we're not all bad! I always try to advocate for my patients. I am willing to bet that in another 20 years, it will be manditory to conver more plastic surgery post op WLS as ignorance turns to knowledge and peopkle realize that the excessive skin is NOT just a cosmetic issue. 20 years ago, gastric bypass was thought of as more a cosmetic procedure than a medical one. Eventually......but that won't help me pay for my arms right now! Sue
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