Does aetna cover skin removal after weight loss?
I've lost a significant amount of weight and now I'm considering skin removal surgery. It's a big step, so I need to know if Aetna covers skin removal after weight loss.
I've lost a significant amount of weight and now I'm considering skin removal surgery. It's a big step, so I need to know if Aetna covers skin removal after weight loss.
I was just reading about this on a health forum. It seems Aetna usually considers skin removal to be cosmetic unless it is a panniculectomy that is causing physical functional issues. It's crazy how much documentation they require to prove it is a medical necessity!
When I consulted the plastic surgery team at Fortis, they explained that Aetna only covers skin removal if it is medically necessary. This means you must have documented chronic rashes or infections that don't respond to medicine. It is best to ask your surgeon to document these symptoms clearly for the insurance.
Losing so much weight is a very big achievement, beta, God bless you. For the loose skin surgery, these big insurance companies usually say no unless there is a painful rash or wound under the skin. Do ask your doctor to write a letter to them explaining your pain.
Losing weight is hard enough, and now we have to fight insurance to get rid of the leftover suit! Aetna will basically cover it only if your hanging skin is causing a literal medical crisis. Otherwise, they'll just tell you to wear tight clothes and call it a day!
I got my panniculectomy covered by Aetna after losing 60 kgs, but it took six months of paperwork. You need your dermatologist to write down every single time you had a skin infection or rash under the folds. Without that medical history, they will reject it as cosmetic.
Look, Aetna will not pay for cosmetic shaping, let's be real. They only pay if the extra skin is causing real infections and medical trouble. Get your doctor to write a strong clinical letter, otherwise you will have to pay for it yourself.
Hey! I am also planning for this soon. Standard tummy tucks aren't covered by Aetna, but a panniculectomy is if it's causing physical issues. Definitely start documenting any rashes with your doctor now so you have a solid paper trail when you apply for approval.
Losing weight is such an amazing achievement! 🎉 Aetna does cover skin removal if it's causing physical pain or bad rashes. Just work closely with your doctor to submit all the medical proof, and hopefully, they will approve it quickly! Good luck! 👍
If you look up Aetna's clinical policy bulletin number 0211, it outlines the exact medical criteria for a panniculectomy. The hanging skin must cover the pubic area and you need proof of skin issues that lasted at least three months. Having these exact details helps when talking to your doctor.
Understand what blotchy skin is along with its causes, symptoms, treatment and prevention.
Are you searching for what kills athlete's foot instantly? Learn the fastest treatments, what actually wo...
Most people are afraid to come in close contact with Eczema patients thinking that they will acquire the ...
Cold sores can e uncomfortable and painful. Moreover who wants to wait for weeks to make it heal of it's ...
You have done an amazing job with your weight loss journey, please be proud of that. Don't worry too much about the surgical costs yet. We can talk to a good surgeon who knows how to present the case to Aetna so they cover it under medical necessity. Take it step by step.
I just recovered from my skin removal surgery last month. Aetna covered the lower abdomen part because I had severe hygiene issues and back strain, which my doctor documented beautifully. It was a tough recovery but totally worth pushing the insurance for.
I know how uncomfortable that excess skin can be, especially with painful chafing in our hot weather. While you try to get Aetna to cover it, using thoda coconut oil or antifungal powder helps a lot with the irritation. Keep trying with the insurance, hopefully they will understand your pain.
Get the Zerunio health brief
Evidence-based health, reviewed by clinicians. Free, weekly.
Enter your phone number – we’ll text you a one-time code.