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Reconstructive & Plastic Surgery Discussions regarding reconstructive and plastic surgery following weight loss.

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Old 02-12-2008, 07:38 AM   #1 (permalink)
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LoriAnn925's Avatar

Join Date: Sep 2006
Location: Arlington, TX
Surgeon: Dr. Kuhn, BUMC Dallas TX
Posts: 361
Default Getting TT covered by Insurance

Ok, so I've reached the point where I'm starting to get obsessed with the idea of a tummy tuck (and breast augmentation). I have check with my insurance and it will cover the Tummy Tuck or Panni if I meet these certain requirements.

1. the pannus has to hang at or below the level of the symphsis pubis
2. Pannus causes a chronic and persistent skin condition that is refractory to at least six months of medical treatment.
3. Pannus interferes with activities of daily living

In addition to that, I have to be 18 months out from surgery and my weight has to be stable for at least 6 months.

I am almost 17 months out from surgery and my weight has been in a 5 pound range for the last 3 months. If I don't hold in my abs, I can meet the pannus hanging at or below the symphsis pubis (that's what having 4 large kids will do for you) If I had to contract my abs, there's no way I would meet this.

The only part I don't have is the skin condition. I know this is probably very wrong of me, but I have to ask this, is there a way to cause a skin condition so that I can get this covered by insurance??? There is no way I can come up with the money to pay out of pocket. I'm sure if I waited until the 110 degree Texas summer I would have a heat rash or something, but I really want to get moving on this.

Any thoughts or suggestions? Any and all are appreciated, even those that tell me that I'm wrong.
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LoriAnn 5'7.5"
Lap RNY: 9/25/06

307.9/154.6/145
Pre-Op(highest)/Current/Goal
Last Edited 4/28/08

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Onederland - 4/30/07

Size 8: 12/15/07 -- I have reached Single Digit clothing sizes!!!!!

LESS THAN HALF OF MY STARTING WEIGHT!!!!! - 12/24/07

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"Destiny is no matter of chance. It is a matter of choice. It is not a thing to be waited for, it is a thing to be achieved." - William Jennings Bryan
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