Most cover panniculectomy
Congradulations on the outstanding weight loss and getting into shape. Removal o fth excess skin is well worth it and will make you feel even better and gain further mobility to obtain the body you want. Most insurance companies require extensive documentation including photos, BMI, weight loss amount and a history of rash in the fold under your pannus. After review, panniculectomy is typically covered (skin excision without umbilicus relocation). Very rarely, a full abdominoplasty or a belt lipectomy (circumferential torso skin excision) will be covered. Skin excision from the arms or thighs after weight loss are usually not covered except in extreme cases of severe rash and folliculitis and insuraance companies want medical record and photographic evidence. Al of these procedures are difficult and can have complications. Make sure to see a board certified plastic surgeon for consultation.
Insurance Coverage for Tummy Tuck?
It depends on your insurance company. Typically, they may cover a panniculectomy (just removing hanging skin) but not an abdominoplasty (tightening the muscles and repositioning the upper abdominal skin. Having said that, your surgery was just about 6 months or so ago. Be sure you are at or near your goal weight, and be very careful to follow your physicians prescriptions for vitamins, etc. The RNY can result in some vitamin deficiencies which could get in the way of healing from plastic surgeries. Best of luck!
Does insurance cover panniculectomy?
Unfortunately, no unless you demonstrate rashes that are refractory to up to a year of antibiotic treatment, including IV administration. The other issues you raise are subjective and insurance companies will deny on these grounds. Congratulations on the incredible weight loss. Given the amount that you have lost, you are in much better shape than many patients I have seen.
Insurance coverage for post bariatric surgery
Each insurance company is different sorry to say. You have a wonderful result from the weight loss procedure and would get a wonderful result from the tightening procedures. The insurance companies sometimes will cover the procedure if due to rashes, or a hernia is present. If not, look for a plastic surgeon who performs these procedures regularly. Usually trying to perform multiple procedures as a team which can be performed totally safely and be cost effective. Good luck.