I'm a 22 year old 6ft1 male, and 3 years ago I went from being 315lbs to 190lbs. Now I have a lot of loose skin on my arms, abdomen, pecs, butt, and thighs. I recently started to do sit ups for the first time, and after a few days of doing them the skin on my butt started to break causing a painful cut and bruise. I guess that when I sit down sometimes my cheeks get squished together and I suppose if its a hard surface the skin will break.
Will Insurance Cover Excess Skin Removal if It's Causing Me Discomfort After Exercising?
Doctor Answers 14
Will insurance cover excess skin removal causing discomfort after weight loss?
Insurance will not cover the vast majority of body contouring procedures because they consider them cosmetic and not medically necessary. In rare cases, insurance might cover a procedure to amputate excess abdominal skin called a panniculectomy. This is not a cosmetic procedure. Insurance might pay for this if you have a history of extensive wounds, rashes, and functional impairment from the hanging abdominal skin. Most patients do not meet the criteria for panniculectomy.
If a patient has excess hanging skin from not only the abdomen, but also the waist, lateral thighs, and buttocks, then a body lift might be the right procedure. Be sure to visit with a board certified Plastic Surgeon for an in-depth consultation. At your visit you will be educated on the procedure, the recovery, and the pricing involved.
Will Insurance Cover Body Lift Procedures
Will Insurance Cover Excess Skin Removal?
The only way to tell if your insurance covers removal of excess skin is to submit a claim. It is possible that your insurance company does cover removal of excess skin. For ideally successful insurance authorization, you will need to carefully document rashes. In addition, you will need to document how this excess skin and fat restricts your activities of daily living.
Good luck with your weight loss journey. If you have any questions, please contact my office.
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Will Insurance Help with the Cost of Lift after Weight Loss?
Will Insurance Cover Excess Skin Removal
By-in-large the insurers consider this skin removal after massive weight loss to be cosmetic and not "medically necessary." Many policies specifically exclude skin reduction procedures, thereby not having to deal with considerations of medical necessity.
That doesn't mean that it is not worth trying.
You seem ready for an in person consultation. RealSelf has listings of surgeons in your area. You should consider cross referencing the listings from the The American Society of Plastic Surgeons (plasticsurgery dot org). A listing in the ASPS website assures you that your surgeon is not only board certified, but also is a member in good standing of the major plastic surgery organization in the U. S.
Thank your for your question, best wishes.
I concur with my colleagues here. It is extremely unlikely insurance companies will cover removal of your excess skin because they deem these procedures as not medically indicated and as purely cosmetic. In addition, more and more insurance plans are now listing skin excision procedures on their list of "not covered benefits".
Excess Skin After Weight Loss
For the most part, insurance companies are not going to cover the procedures you would be needing to address your concerns. There are rare situations where a patient has significant medical problems due to the excess tissues, most commonly in the abdominal area from the apron of skin and tissue-called a pannus-that hangs down over the thighs. This requires documentation that multiple other previous treatment efforts have failed and even then, many insurers will not cover the procedure.
Your first step is to consult with a board certified plastic surgeon who is familiar with management of the post-massive weight loss(PMWL) patient who after a consultation and an examination can best advise you on your course of action. I know this is probably not the answer you wanted to hear but....it is best that you know what you are up against before you get started. Best of luck.
Loose skin and insurance
Insurance does not cover loose skin excision after weight loss. Sometimes they cover loose skin associated with severe rashes that are porperly documented and unamenable to conservative treatment.
Insurance coverage of excess skin removal
If you want insurance coverage you will need medical record documentation of these problems. You need to see your GP for these complaints and have them generate a paper trail describing the tissue breakdown and attempted treatments that failed. Most insurance companies want documentation of skin breakdown and 3 to 6 months trials of non-surgical treatment even though once skin breakdown or rashes appear they never fully respond to non-surgical treatment.
My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.