Will 1199 SEIU insurance cover Breast lift & Panniculectomy? (photos)

based on your photos, you look like a candidate for both procedures.  insurance coverage is not applicable and both of these procedures would be considered cosmetic in nature.  good luck.

From your photos it looks like you would need an abdominoplasty and a breast lift. These are both cosmetic procedures. There are important differences between a panniculectomy and abdominoplasty, as well as breast lift versus reduction. You should be prepared to self pay for such a makeover. 

Thank you for your question and photographs, and congratulations on your impressive weight loss! In order to best answer your questions, I would recommend you see a board certified plastic surgeon for an in-person consultation; additionally I would contact your health insurance company to ask whether they cover these procedures and the criteria needed to qualify. In conjunction with your plastic surgeon, this insurance information would let you know if surgery is an option.  As far as your pictures, because your breast size is causing such issues to your neck, you may benefit from a breast reduction (which will give you a beast lift at the same time) which may be covered by insurance, whereas a breast lift often is not.  I can see the excess skin of your abdomen as well, but it may prove difficult to get this covered by insurance, as it is considered "small" by panniculectomy standards.  Removal of this tissue may better be through an abdominoplasty, but that is a cosmetic operation and not covered by insurance.  Hope this helps. 

It is highly unlikely that your insurance will cover either of the procedures. On a rare occasion they may cover the panniculectomy portion -- but for they the reimbursement is so low that it hardly covers the doctors expenses. These two procedures are usually considered cosmetic, thus you need to self pay if you want them.

Breast lift is a cosmetic procedure.  I know of no insurance that covers cosmetic procedures.  Panniculectomy is only medical when patients have a long history of medically documented problems.  You'd be well served to contact your insurance to see what their criteria are.  They vary from one carrier to another.