Will Insurance Cover Skin Removal After Weight Loss Surgery
What my health insurance company looked for criteria in order to agree that my reconstructive surgery excess skin removal after massive weight loss was m. When I lost a ton of weight a few years ago I had a consultation with a plastic surgeon about getting all my loose skin removed body lift arms breasts thighs.
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Many patients who undergo weight loss surgery are left with a substantial amount of excess skin.

Will insurance cover skin removal after weight loss surgery. Plastic surgery to remove extra skin after weight loss. Facts to know about excess skin removal. The procedure that insurance covers is what is known as a panniculectomy removal of the pannus the large amount of hanging skin on the front of the abdomen.
Surgical removal of skin and fat folds evident post weight loss for solely cosmetic purpose is not covered. A panniculectomy is more expensive than a tummy tuck but its often covered by medical insurance. Medicare will cover the cost of skin removal surgery.
Will insurance cover a Panniculectomy. The cost can range from 8000 to 15000 plus anesthesia and other extras. Is a body lift after weight loss covered by insurance.
This is true sort of. Skin Removal Surgery After Weight Loss. He said if I had good documentation of skin rashes from my doctor insurance might cover a small portion of the body lift part of the surgery but it was somewhere around 10 of the total bill.
The answer can vary from one patient to another. This general information may assist you to know about insurance coverage and plastic surgery after massive weight loss. Plastic Surgery After Massive Weight Loss The excess skin can make it difficult to find properly fitting clothing can inhibit certain activities and exercises as well as can lead to rashes and painful skin breakdowns.
In such cases there is no reason not to perform abdominal rejuvenation first and delay the thigh procedure until a more appropriate time. As is often the case with Medicare certain conditions have to be met for Medicare to pay for your skin removal surgery. The key to getting insurance coverage is to make a compelling argument for why that procedure is medically necessary and how it can improve your quality of life.
That being said some insurance carriers do offer partial coverage of body lift expenses if you meet certain criteria. Also if your excess skin is hindering your ability to function causes continuous infections or other problems then this may give you a leg up on reasons behind the need for your surgery. Yes you can get cover for medically-necessary skin removal through private health insurance too.
How much is skin removal surgery exactly. Losing a lot of weight is a great accomplishment and a step towards a healthier more active life. For example breast reduction to treat your aching back or excess skin removal following dramatic weight loss are sometimes covered.
It is recommended when strength training massages diet tricks and cosmetic procedures are ineffective and when people who have lost weight feel uncomfortable and unattractive with excessive skin particularly it concerns loose skin after bariatric surgery when there is a dramatic weight loss in a short time. Will insurance cover excess skin removal after weight loss Its sad to say most insurance companies wont cover the cost of skin removal because it is considered Cosmetic Surgery. I had to get used to moving around in a smaller body.
Though heavy excess skin left behind after weight loss can be considered a medical condition due to discomfort and increased risk for skin conditions most insurance providers do not cover body lift surgery. However I have had some patients insurance pay for a portion of the surgery if they had documentation from other Doctors Dermatologist stating they have had skin breakdown due to skin rubbing or fungus. The benefits of going through private health insurance are the.
The short answer is yes. Many health insurers require proof that a patient has not only lost the weight but also managed to keep it off. Plastic surgery is a last resort for loose skin weight loss.
RNY on 110408. If a patient has maintained a stable weight for 6 months or more it is likely that the insurer will assist in paying for the surgery. Thankfully excess skin removal surgery can eliminate 15 pounds or more of weight and help you conquer all of your weight loss goals.
In a case brought by our firm a California state judge previously ruled that Kaiser Permanente was not permitted to categorize all skin removal surgeries as cosmetic and therefore unworthy of coverage. After bariatric surgery many patients are told that insurance will cover the removal of all that extra skin by their bariatric surgeons other physicians or friends. How skin removal surgery helps after extreme weight loss Recovery can be painful and insurance often doesnt pay for it but patients say skin removal.
In many cases patients seek excess skin removal surgery solely for cosmetic reasons to achieve more desirable body contours. It all comes down to your insurance carrier and plan. In some cases insurance companies may cover the cost of your procedure due to a great deal of weight loss.
Does insurance cover excess skin removal after weight loss. If individual has had bariatric surgery and experienced significant weight loss a panniculectomy should not be performed until at least 18 months after surgery and only after weight has been stable for the most recent 6 months. However excess sagging skin can present a new challenge keeping patients from fully enjoying the benefits of their weight loss.
Below find out how to get skin removal surgery covered by insurance as well as other ideas to pay for the expensive procedure. Skin Removal After Weight Loss. Since the panniculectomy is not typically seen as a cosmetic surgery your insurance provider may help pay.
They will not pay just because it looks bad. What insurance covers excess skin removal. Does Health Insurance Cover Body Contouring Surgery After Weight Loss.
This will make you ineligible for insurance coverage. Its usually recommended that you wait until youve maintained your weight for at least six months. Excess skin can create health concerns such as chafing rashes ulcers and infections.
The insurance company often needs proof that the surgery is medically necessary to prevent or relieve problems. These are the general baseline costs for the most common plastic surgeries to loose skin after weight loss according to the American Society of Plastic Surgeons. Body contouring techniques your health plan may cover include.
Does Medicare pay for skin removal after weight loss. Courts have recognized that insurers should not be permitted to uniformly deny coverage for excess skin removal following bariatric weight loss surgery. Health insurance normally doesnt cover body contouring but there are exceptions.
But not 100 of the time. When Abdominoplasty Panniculectomy and Lipectomy is not covered. Insurance will usually pay for skin removal IF the excess skin is causing a medical problem like a rash or infection that makes it medically necessary.
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