Question:
Does anyone know if Kaiser will pay for a tummy tuck after you loose all your weight?
I heard that if you keep your weight off for one year Kaiser will pay for the tummy tuck and a brest reduction. I would like to know if any one has had any one of these operations done though Kaiser. — Nadine L. (posted on October 2, 2002)
October 3, 2002
Kaiser Northern CA does NOT pay for any plastic surgery. I was told by my
surgeon to "save my pennies" for a TT or anything else because
they don't cover it.
— [Deactivated Member]
October 3, 2002
I have had both Northern & Southern Californian Kaiser (currently so.
member) and I am pretty sure they are the same about these procedures.
Like Mary said, they need to be medically necessary. Definitely call
member services and ask, and keep asking. Kaiser is a hard nut to crack,
although once you do "get through" it can be well worth it.
Patience and persistence is the key, which I know is F***ing HARD!!! I
have spent some serious time on the phone with member services, getting the
run around, different answers, etc... When I did finally get what I was
requesting it was wonderful and all else is falling into place. I would
suggest that when the time comes to have the TT, talk to your PCP and have
him.her refer you to the plastic surgery department. I hope this
helps..Good Luck to you...Aims
— chickiewickie
October 3, 2002
ALL insurances HAVE to look at MEDICAL NECESSITY. Just because a tummy tuck
is typically considered a "cosmetic" procedure, doesn't mean in
each case it is. It is just a red flag procedure that insurances have to
review. If you are having health issues, like: rashes, back pain,
difficulty exercising from a haning pannis,etc..those are medical
neccessity reasons and they should approve them. Your doctor can write a
good letter and photos speaks volumes.
— ZZ S.
October 3, 2002
For starters "NEVER" call it a Tummy Tuck. Its a
paniculectomy....and still must be medically neccessary. Go to the doctor
for every, rash, irritation, and infection you have under the skin apron
and get it documented.....Kaiser is tough.
— Keniki B.
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