I am 51 and want the front of my abdomen & "kangaroo pouch" removed. I had 2 large children via c-section & have gained weight since then. I currently weigh approx 225-230. I suffer from repeated rashes & also have rheumatoid arthritis so I am on immuno- suppressants & biologics. Any infection, even my rashes, are cause for concern. My hope is that there is a doctor who can help me regain a flat stomach. I also need to learn about healing time & down time .. Thank You for your tile
May 10, 2016
Answer: I need a tummy tuck covered by insurance. I have extenuating circumstances & need to know if this is possible? Based on your photo- you are a great candidate for Abdominoplasty. Insurance questions are best answered by reading your policy and determining if the extended procedure is both medically necessary and a COVERED expense. Just because it's medically necessary does not mean the policy will cover it. You say you have extenuating circumstances- and these may in fact get you some coverage. Most Plastic Surgeons will require payment in flu pre-operativey and then supply the needed documents to make your case. You then fight with the insurance company. You may also want to consider significant weight loss.
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May 10, 2016
Answer: I need a tummy tuck covered by insurance. I have extenuating circumstances & need to know if this is possible? Based on your photo- you are a great candidate for Abdominoplasty. Insurance questions are best answered by reading your policy and determining if the extended procedure is both medically necessary and a COVERED expense. Just because it's medically necessary does not mean the policy will cover it. You say you have extenuating circumstances- and these may in fact get you some coverage. Most Plastic Surgeons will require payment in flu pre-operativey and then supply the needed documents to make your case. You then fight with the insurance company. You may also want to consider significant weight loss.
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May 10, 2016
Answer: Abdominal contouring Thank you for your question. The only abdominal procedure covered by insurance companies for skin removal to treat recurrent skin rashes is the panniculectomy. Tummy tucks (or abdominoplasty) are not covered by insurance as they are considered cosmetic in nature. In addition, you are not a good candidate for a tummy tuck at this time secondary to your current weight. The surgeon who stated that you are a great candidate for a tummy tuck was mistaken, I believe. A great candidate for a tummy tuck is one who is healthy, at a stable weight with a BMI less than 30 but ideally close to 25, and has realistic expectations. I suggest you consult with a board certified plastic surgeon to discuss your options. Best wishes!
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May 10, 2016
Answer: Abdominal contouring Thank you for your question. The only abdominal procedure covered by insurance companies for skin removal to treat recurrent skin rashes is the panniculectomy. Tummy tucks (or abdominoplasty) are not covered by insurance as they are considered cosmetic in nature. In addition, you are not a good candidate for a tummy tuck at this time secondary to your current weight. The surgeon who stated that you are a great candidate for a tummy tuck was mistaken, I believe. A great candidate for a tummy tuck is one who is healthy, at a stable weight with a BMI less than 30 but ideally close to 25, and has realistic expectations. I suggest you consult with a board certified plastic surgeon to discuss your options. Best wishes!
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