What are the normal criteria for having a body lift paid for by insurance?
Answer: Insurance Typically a body lift is not covered by insurance. They will cover a panniculectomy which remove skin from the belly button to the pubic bone. This does not address the lateral flanks or upper abdomen. Those areas are considered cosmetic. They do this to remove the area of chronic infection and yeast buildup in the fold of the lower wall. They feel that that is justified.
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CONTACT NOW Answer: Insurance Typically a body lift is not covered by insurance. They will cover a panniculectomy which remove skin from the belly button to the pubic bone. This does not address the lateral flanks or upper abdomen. Those areas are considered cosmetic. They do this to remove the area of chronic infection and yeast buildup in the fold of the lower wall. They feel that that is justified.
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CONTACT NOW Answer: Does Insurance Cover Aesthetic Procedures Like Body Lift? Thank you for your question about coverage criteria for a body lift. Bariatric surgery is typically covered by insurance carriers unless it is excluded because it is effective in creating weight loss and improving co morbities such as hypertension, diabetes and knee problems. Despite the strong science in this regard, not all carriers cover the surgery because of the cost...this is called a policy exclusion. Similarly aesthetic body contouring procedures such as a body lift can not only improve your body image and quality of life but also help to keep the weight off permanently. Despite these benefits, most carriers exclude most aesthetic procedure such as body lifts. If aesthetic procedures are excluded as a covered benefit, they will not be covered under andy circumstances. In some cases they are not excluded as a covered benefit, but must meet medical necessity. Meeting medical necessity is intentionally vage and difficult to ascertain. Insurance companies typically do not make this process transparent or efficient. The most effective approach would be for you to reach out to your insurance carrier to get the information directly from them as it may vary by carrier, Since you are their customer, they are more likely to be responsive to you than they are to your surgeon. The first question to ask is whether a body lift is a covered benefit under your plan. If it is a covered benefit, then I would ask what are the medical criteria and documentation necessary to meet medical necessity. I would ask them to send you this information in writing. Thereafter, I would go about scheduling the doctors appointments necessary to fullfill those criteria if possible. Once that process has been completed, then you are ready to seek consultation with a board certified Plastic Surgeon. I hope this helps! Best wishes on your weight loss journey.
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CONTACT NOW Answer: Does Insurance Cover Aesthetic Procedures Like Body Lift? Thank you for your question about coverage criteria for a body lift. Bariatric surgery is typically covered by insurance carriers unless it is excluded because it is effective in creating weight loss and improving co morbities such as hypertension, diabetes and knee problems. Despite the strong science in this regard, not all carriers cover the surgery because of the cost...this is called a policy exclusion. Similarly aesthetic body contouring procedures such as a body lift can not only improve your body image and quality of life but also help to keep the weight off permanently. Despite these benefits, most carriers exclude most aesthetic procedure such as body lifts. If aesthetic procedures are excluded as a covered benefit, they will not be covered under andy circumstances. In some cases they are not excluded as a covered benefit, but must meet medical necessity. Meeting medical necessity is intentionally vage and difficult to ascertain. Insurance companies typically do not make this process transparent or efficient. The most effective approach would be for you to reach out to your insurance carrier to get the information directly from them as it may vary by carrier, Since you are their customer, they are more likely to be responsive to you than they are to your surgeon. The first question to ask is whether a body lift is a covered benefit under your plan. If it is a covered benefit, then I would ask what are the medical criteria and documentation necessary to meet medical necessity. I would ask them to send you this information in writing. Thereafter, I would go about scheduling the doctors appointments necessary to fullfill those criteria if possible. Once that process has been completed, then you are ready to seek consultation with a board certified Plastic Surgeon. I hope this helps! Best wishes on your weight loss journey.
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November 27, 2018
Answer: Hardly ever, but check with your insurance provider Most elective surgery is not covered by insurance, of course, but there are a few instances (breast reduction, for example) when it might be determined to be medically necessary or reconstructive. The only part of the body lift ( TT + outer thigh lift + posterior body lift) that would possibly be covered is the panniculectomy (excess skin) part of the tummy tuck. It is best to have your primary care physician document any issues you are having (skin infections, fungal infections, rashes, etc.) and look at your insurance policy details (or speak to an agent) to determine what they might cover and what clinical criteria they use. Deciphering what is, and what is not, covered by insurance can be tricky when it comes to elective / reconstructive surgery. Nearly all cosmetic surgery is not covered. It also doesn't hurt to consult with a board certified plastic surgeon to discuss your concerns and determine what procedure would be able to offer you some relief as well (whether it would be covered by insurance, financed, or saved up for). Best wishes!
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CONTACT NOW November 27, 2018
Answer: Hardly ever, but check with your insurance provider Most elective surgery is not covered by insurance, of course, but there are a few instances (breast reduction, for example) when it might be determined to be medically necessary or reconstructive. The only part of the body lift ( TT + outer thigh lift + posterior body lift) that would possibly be covered is the panniculectomy (excess skin) part of the tummy tuck. It is best to have your primary care physician document any issues you are having (skin infections, fungal infections, rashes, etc.) and look at your insurance policy details (or speak to an agent) to determine what they might cover and what clinical criteria they use. Deciphering what is, and what is not, covered by insurance can be tricky when it comes to elective / reconstructive surgery. Nearly all cosmetic surgery is not covered. It also doesn't hurt to consult with a board certified plastic surgeon to discuss your concerns and determine what procedure would be able to offer you some relief as well (whether it would be covered by insurance, financed, or saved up for). Best wishes!
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October 7, 2016
Answer: Insurance Coverage For Body Lift Surgery It's not unusual for massive weight loss patients to develop significant amounts of redundant truncal skin. A variety of surgical options are currently available to address these problems. These include both panniculectomy and body lift procedures. The choice of procedure is dependent upon the patient's anatomic findings and aesthetic goals.It would be extremely unusual for an insurance carrier to cover the cost of a body lift procedure. Most insurance carriers would view this procedure as cosmetic in nature.In contrast, abdominal panniculectomy may occasionally be covered by insurance companies if hanging skin is associated with functional problems. Under these circumstances, back pain, rashes and severe infections related to hanging skin may lead to insurance coverage.It's important that each patient be considered individually when undergoing this type of procedure. It's, therefore, important to consult a board certified plastic surgeon. This surgeon should be able to determine what type of procedure will meet your aesthetic goals and whether or not it will be covered by insurance.
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CONTACT NOW October 7, 2016
Answer: Insurance Coverage For Body Lift Surgery It's not unusual for massive weight loss patients to develop significant amounts of redundant truncal skin. A variety of surgical options are currently available to address these problems. These include both panniculectomy and body lift procedures. The choice of procedure is dependent upon the patient's anatomic findings and aesthetic goals.It would be extremely unusual for an insurance carrier to cover the cost of a body lift procedure. Most insurance carriers would view this procedure as cosmetic in nature.In contrast, abdominal panniculectomy may occasionally be covered by insurance companies if hanging skin is associated with functional problems. Under these circumstances, back pain, rashes and severe infections related to hanging skin may lead to insurance coverage.It's important that each patient be considered individually when undergoing this type of procedure. It's, therefore, important to consult a board certified plastic surgeon. This surgeon should be able to determine what type of procedure will meet your aesthetic goals and whether or not it will be covered by insurance.
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February 2, 2016
Answer: Non-Invasive Body Contouring not Covered by Insurance Vanquish is a one-of-a-kind fat reduction system that works by effectively heating and killing stubborn fat cells in the waist and stomach area. Using radio frequency, Vanquish heats the fat cells to 120 degrees and destroys them without harming the skin or surrounding tissue. Ordinarily, any treatment that is not medically necessary is not likely to be covered by insurance.#Vanquishdestroysfat #Vanquishbodytreatments #Noninvasivebodytreatments
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CONTACT NOW February 2, 2016
Answer: Non-Invasive Body Contouring not Covered by Insurance Vanquish is a one-of-a-kind fat reduction system that works by effectively heating and killing stubborn fat cells in the waist and stomach area. Using radio frequency, Vanquish heats the fat cells to 120 degrees and destroys them without harming the skin or surrounding tissue. Ordinarily, any treatment that is not medically necessary is not likely to be covered by insurance.#Vanquishdestroysfat #Vanquishbodytreatments #Noninvasivebodytreatments
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January 2, 2016
Answer: Body contour and insurance In my experience, rarely is/are any cosmetic portion of body contouring procedures going to be covered by a third party payor. In selected cases, a panniculectomy may be covered, but this is not a cosmetic procedure, and will not address loose skin around the posterior or lateral portions of your torso..
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CONTACT NOW January 2, 2016
Answer: Body contour and insurance In my experience, rarely is/are any cosmetic portion of body contouring procedures going to be covered by a third party payor. In selected cases, a panniculectomy may be covered, but this is not a cosmetic procedure, and will not address loose skin around the posterior or lateral portions of your torso..
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