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Hernias and Tummy Tucks

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OK Peeps....

Question of the day..... How can I get a hernia so I can have a tummy tuck?

OK my friends, hurry along with those answers so I can get started on

herniating myself!

Judy in the Windy City

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In a message dated 12/9/2002 9:07:50 PM Pacific Standard Time,

motorcyciemama@... writes:

> How can I get a hernia so I can have a tummy tuck?

Insurance companies are different. My insurance company did not care that I

had a hernia, they would not approve the abdominoplasty. In fact, they

questioned whether I really had a hernia because they thought I was making it

up to try and get coverage (apparently, they thought my PCP and two surgeons

were also making it up).

I did eventually get coverage for both the hernia and the abdominoplasty,

after the surgeries. They required a copy of the surgical notes to cover the

hernia, and to cover the abdominoplasty I had to go through multiple appeals

and document back pain, hygiene problems, and some heroic efforts to deal

with both problems over a series of many months.

So, don't start the heavy lifting yet!!

Kate

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In a message dated 12/10/2002 9:54:26 AM Eastern Standard Time,

motorcyciemama@... writes:

> OK Peeps....

>

> Question of the day..... How can I get a hernia so I can have a tummy tuck?

>

> OK my friends, hurry along with those answers so I can get started on

> herniating myself!

>

> Judy in the Windy City

******************************

Hey Judy, I though my constipation might do it, but no such luck. :((

in NJ

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Ditto...I had a hernia and got denied the tummy tuck. 2 yrs later

they approved the tummy tuck without any hernia, yeesh, BlueCross

could have saved a bundle letting me have both done at the same

time. go figure, same insurance, same surgeons, same PS

Hernias are not fun so don't rush into one..

Rita in Brrrmont

Was -5 degrees yesterday, I wanna go someplace warm!!!

-- In Graduate-OSSG , kateseidel@a... wrote:

> In a message dated 12/9/2002 9:07:50 PM Pacific Standard Time,

> motorcyciemama@a... writes:

>

> > How can I get a hernia so I can have a tummy tuck?

>

> Insurance companies are different. My insurance company did not

care that I

> had a hernia, they would not approve the abdominoplasty. In fact,

they

> questioned whether I really had a hernia because they thought I was

making it

> up to try and get coverage (apparently, they thought my PCP and two

surgeons

> were also making it up).

>

> I did eventually get coverage for both the hernia and the

abdominoplasty,

> after the surgeries. They required a copy of the surgical notes to

cover the

> hernia, and to cover the abdominoplasty I had to go through

multiple appeals

> and document back pain, hygiene problems, and some heroic efforts

to deal

> with both problems over a series of many months.

>

> So, don't start the heavy lifting yet!!

>

> Kate

>

>

>

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> In a message dated 12/10/2002 9:54:26 AM Eastern Standard Time,

> motorcyciemama@a... writes:

>

> > OK Peeps....

> >

> > Question of the day..... How can I get a hernia so I can have a

tummy tuck?

> >

> > OK my friends, hurry along with those answers so I can get

started on

> > herniating myself!

> >

> > Judy in the Windy City

> ******************************

> Hey Judy, I though my constipation might do it, but no such luck. :

((

>

> in NJ

>

******************************************

Just come help me pull open/close the roll-up doors in the warehouse

I manage. That did the trick for me! Then I started the 18 month

fight with BCBS to pay for my TT when they fixed my hernia. I WON!

I'm very happy that I did!

Reba in Auburn, AL

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You don't need a hernia to get a tummy tuck approved, nor does having

a hernia give you a better chance of getting approval. About the

only help a hernia would be is that it covers the overnight stay an

out of pocket TT doesn't. Actually talking to the plastic surgeons,

having a hernia actually can limit the results they can get doing an

abdomnioplasty, as mesh repairs can be limiting. We usually (but not

always) need to prove medical necessity beyond redundant skin after

massive weight loss to get reconstructive plastic surgery approved

for insurance coverage.

In my case, I had back problems for over 3 years before they finally

approved my abdomnioplasty. I was denied in November of 2000 when I

was 2 years post op as they said I did not prove medical necessity or

that abdomnioplasty would solve any medical problems I had. So,

while I was too busy to consider surgery again, I lost another 30

pounds or so, getting my BMI down to about 23 and I also switched to

the PPO insurance option throough my husbands company. For 18 more

months, I lived on vicodin, visited orthopedic surgeons and physical

therapists until I had no choice but to try for abdomnioplasty again

or go to the next step of back surgery and/or pain control implant of

some type. *I* (I did my research and knew my back might not improve

without abdomnial support no matter what I did) had determined

medically that I had a better chance of improvement with

abdomnioplasty than, back surgery or a narcotic pump/implants alone

without abdomnioplasty. The same plastic surgeon I had picked and

consulted with before sent the same request for coverage and I was

approved first try this time. I had my full abdomnioplasty with

total muscle tightening (from breast bone to pubic bone) using the

anchor incision and removing 5.5 pounds of excess skin in June. It

was like a miracle. He found that I had true diastatis recti and

that the lower abdominal muscles were completely separated, 8 inches

apart . . . no wonder I had back problems and couldn't do a sit up!

I have been off all narcotics since after my last reconstructive

surgery the end of July. It is wonderful to feel so much better and

have improved appearance to boot! I still have scoliosis and

arthritis in my spine, but I can live with it now without needing

narcotics to try to get through the day.

If we had to pay cash, which I was willing to do, if necessary . . .

I was going to sue the insurance company if the abdomnioplasty did in

fact greatly improve my back pain. There was no doubt about my

medical necessity and my doctors and I had proved it. I think one of

the keys to approval is real medical necessity and then a PCP and

plastic surgeon to write the proper request and provide the

documentation. Good luck!

:o) Vicki

> OK Peeps....

>

> Question of the day..... How can I get a hernia so I can have a

tummy tuck?

> OK my friends, hurry along with those answers so I can get started

on

> herniating myself!

>

> Judy in the Windy City

>

>

>

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