I have Crohn's disease and it's been a battle...weight issues have becoming a frequent issue sending my chronic illness into flares. Finally I have been able to get my life back...but the fat folds have been causing me a lot of pain when I stand and sometimes when I sit making it unbearable. I know they don't consider cosmetic surgery but this is quite painful
Answer: Insurance and BA From your description it seems as if you are a good candidate for breast reduction. Unfortunately, each insurance company has their own criteria. Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.This procedure is commonly covered by insurance through insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses
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CONTACT NOW Answer: Insurance and BA From your description it seems as if you are a good candidate for breast reduction. Unfortunately, each insurance company has their own criteria. Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.This procedure is commonly covered by insurance through insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses
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CONTACT NOW August 9, 2015
Answer: Cosmetic Procedures and Insurance Insurance will not cover cosmetic procedures unless it is causing a morbidity like skin infections or disability. I suggest making a life change with diet/exercise, nutrition, antiaging physicians/hormone evaluation, and getting the UC/Crons under best control. Liposuction can help remove some fat and tighten skin, but you may need surgical intervention. A formal evaluation is needed. Best, Dr. Emer.
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CONTACT NOW August 9, 2015
Answer: Cosmetic Procedures and Insurance Insurance will not cover cosmetic procedures unless it is causing a morbidity like skin infections or disability. I suggest making a life change with diet/exercise, nutrition, antiaging physicians/hormone evaluation, and getting the UC/Crons under best control. Liposuction can help remove some fat and tighten skin, but you may need surgical intervention. A formal evaluation is needed. Best, Dr. Emer.
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August 10, 2015
Answer: Will OHIP cover liposuction in my back, due to severe back pain? Unfortunately not. OHIP will not cover liposuction for pretty much any reason whatsoever. Best of luck!
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CONTACT NOW August 10, 2015
Answer: Will OHIP cover liposuction in my back, due to severe back pain? Unfortunately not. OHIP will not cover liposuction for pretty much any reason whatsoever. Best of luck!
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August 11, 2015
Answer: OHIP Covered Liposuction Hello and thanks for the question.No. OHIP will not cover liposuction for any reason. Besides, liposuction is not a means of weight loss - it is used to sculpt the body in areas where diet and exercise can no longer make a difference.It sounds like your main issue may be weight gain and it may make your Crohn's worse. Speak to your GP about this. A thought may be a referral to a general surgeon for a gastric bypass surgery to help with your weight. With weight loss, you may not require liposuction.Hope this helps and best of luck!
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August 11, 2015
Answer: OHIP Covered Liposuction Hello and thanks for the question.No. OHIP will not cover liposuction for any reason. Besides, liposuction is not a means of weight loss - it is used to sculpt the body in areas where diet and exercise can no longer make a difference.It sounds like your main issue may be weight gain and it may make your Crohn's worse. Speak to your GP about this. A thought may be a referral to a general surgeon for a gastric bypass surgery to help with your weight. With weight loss, you may not require liposuction.Hope this helps and best of luck!
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