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    You are in: Home / Community Forums / Community Cafe / If It Was "Covered"?
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    If It Was "Covered"?

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    MaMere
    Tue Mar 26, 2013 4:49 pm
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    Would you?


    Yesterday some things got me thinking.
    I had to go get a procedure done,(long story, but turns out it was a type of tumor, and it was smack in the middle of my forehead. For a year I tried Baking soda compresses, tea bags, warm compressions, the list could go on forever) and never even thought it would be covered by insurance, it was, for which I was grateful for, after the fact.

    Anyways, it brings me to a question, after reading through MANY pamphlets, and seeing patients coming and going...

    There are some things I learned could be covered. There are some that are not, but am thinking about both.

    If it were covered by insurance, meaning free of charge to you, would you have any "work" done?

    What if it weren't? Would you do a nose job, breast lift, microdermabrasion? Restylane? Botox?
    Any sagging, bagging, wrinkles, extra "stuff"? How about vericose veins that could be covered by insurance?
    Ducky
    Tue Mar 26, 2013 5:08 pm
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    I don't get medically unnecessary work done regardless of whether or not it is covered. Not worth the risk to me.
    MaMere
    Tue Mar 26, 2013 5:11 pm
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    Some procedures I thought were cosmetic are in fact, medical issues.
    Olive*
    Tue Mar 26, 2013 5:32 pm
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    Ducky wrote:
    I don't get medically unnecessary work done regardless of whether or not it is covered. Not worth the risk to me.


    Me neither. I do not like going to any doctor anymore than I have to. I do have varicose veins on my legs that I wish I didn’t have, but they don’t hurt…..they are just ugly. I also hate needles! icon_eek.gif
    Dee514
    Tue Mar 26, 2013 5:45 pm
    Forum Host
    If it were covered by my insurance, and needed to be done for "medical reasons," I wouldn't hesitate. I would get the issue taken care of asap.
    If it were not covered by my insurance, and needed to be done for "medical reasons," I would find away get the issue taken care of asap.

    If it were not covered by my insurance but part of a medical issue/reason.... example - breast reconstruction after a lumpectomy or mastectomy most ins companies will NOT cover nipple reconstruction - the ins companies deem that as "cosmetic and not necessary". I would have that done at my own expense if it made me feel "more whole" again after surgery, and helped restore some of my self esteem.

    If it were covered by insurance, meaning free of charge to you, would you have any "work" done?
    First I would ask myself, am I doing this "for me" or because I think/believe if I have work done, my life will completely change for the better? (99% of the time, cosmetic surgery won't change your life.) A good cosmetic surgeon will tell you that!
    Next I would ask, do I need to have such-and-such changed, improved, lifted, straightened, tightened, etc to feel better about myself"? How long will the results last? Could there be scarring issues/permanent skin discolorations? Down time (recovery) and pain involved? Will I have to wear any compression garments 24/7 post surgery for any length of time (until healing is complete)?

    If it were not covered by my insurance, and were a "cosmetic procedure" (nose job, breast lift, microdermabrasion, Restylane, Botox, sagging, bagging, wrinkles, extra "stuff" etc.) that would depend.....could I afford it? Will the results last long enough to make it worthwhile? Will it make me feel better about myself/improve my self confidence?

    How about varicose veins that could be covered by insurance? If I were very self conscious about my legs (only wearing dark stockings with skirts/dresses; avoiding wearing shorts in summer/only wearing slacks) to hide my legs because of varicose veins, then I would get them taken care of.

    In my mind, all of the above questions need to be answered whether or not a procedure is covered by medical insurance. icon_confused.gif

    Over the past 5 years, I have often wrestled with these same issues myself. At this point I have decided to do nothing, because in the long run the procedures could end up causing other issues for me. icon_confused.gif icon_sad.gif
    Lightly Toasted
    Tue Mar 26, 2013 5:48 pm
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    Some things. I have rosacea. I would love to be able to go around without all the redness and without feeling like I have to wear make-up because everyone always says "oh you're sunburned/windburned." icon_rolleyes.gif

    I lost a good bit of weight a few years ago doing hCg. Now I have a flabby belly icon_rolleyes.gif

    And I would love a breast lift. I miss being able to wear cute little halter tops....but the girls are tired and just not very perky icon_rolleyes.gif

    That's it. Any lines and wrinkles were earned the hard way, and they're part of me. They're staying.
    Lightly Toasted
    Tue Mar 26, 2013 5:50 pm
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    I just want to add.......anyone with fairly significant varicose veiins should see a doctor. There is a good chance that treatment will be covered.
    Ducky
    Tue Mar 26, 2013 6:02 pm
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    MaMere wrote:
    Some procedures I thought were cosmetic are in fact, medical issues.

    If it affects my health, it seems necessary. If it is because I don't like the way it looks but my health is not adversely affected by it, I pass. However, so far, I haven't been in a position when I am horribly disfigured or such and need to make that type of decision.

    Things can, and do, go wrong so my tired, worn parts will just have to stay tired and worn.
    MaMere
    Tue Mar 26, 2013 6:17 pm
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    Lightly Toasted wrote:
    I just want to add.......anyone with fairly significant varicose veiins should see a doctor. There is a good chance that treatment will be covered.


    Thats one of the things I am mulling over at this point. Although mine appear as spider veins, they are varicose veins. I don't like needles either, but there are ALOT they can do for those.
    The other procedure I'm thinking about is considered out patient also (which blew me away), breast reduction. I have a super bad back, like 4 herniated discs in the past, scoliosis, and issues with sciatic nerve...large breasts only increase the issues, and would be covered under insurance.

    I had restylane injections before (talk about pain! and my tolerance is SUPER high!) loved it, would and may do it again.

    The last procedure I am thinking about is laser therapy on my upper chest. I have bad sun damage and it led to broken blood vessels, white patches and red "dots" that could be taken care of in 4 treatments, and the results are forever.

    LT, there are laser treatments now for rosacea, painless and the results are also permanent. I have a gf that is going to go for consult regarding it.
    Lightly Toasted
    Tue Mar 26, 2013 7:11 pm
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    I had laser photo facial treatments done two years ago. I liked the tesults, but it definitely wasn't "painless." icon_lol.gif Then a large carcinoma was discovered next to my nose. The reconstruction involved "stretching" the existing nearby skin over the defect. This caused all the little capillaries there to go crazy. So now I have one side of my face that is REALLY red (where the scarring is) and the other side that is just a little red. I have to wait (dr's orders) till this summer before I can consult about further laser treatments there.

    My cousin had the breast reduction surgery a few years ago. Said it was the best thing she ever did. She can buy properly fitted clothes, and no more back ache.

    My mom did the saline injections in her legs for spider veins. She said it wasn't nearly as bad as she feared.
    racrgal
    Tue Mar 26, 2013 7:29 pm
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    I've had microderm, paid for it myself, and would do it again but I have developed roseaca. I'm happy to hear there might be a laser treatment for the condition. I'll certainly look into that.

    Due to the fact I've had back/shoulder aches since my teens, I've considered a breast reduction UNTIL I fully read up on the surgery. For right now I'm going to pass on the breast reduction. Too many possible side effects. No lift either. If I was going to do a lift, I'd go for the reduction.

    I was blessed with good genes but am not fond of the laugh lines. Maybe a little laser zap to those lines. A full face lift, NO. I want to keep looking like me. I've seen VERY few surgical face lifts that I thought were good. (Keep in mind I live in So Cal with some of the best plastic surgeons in the country.) Still no face lift for me.

    What I am considering (no matter who pays) is hair. Yes, I know that sounds odd but when my thyroid went nuts my hair started getting very thin. Having baby fine hair to start with meant I need all the hair I had.

    For right now, not much work for me. icon_cool.gif
    MaMere
    Tue Mar 26, 2013 7:31 pm
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    I hope you get the go ahead this summer, if that is what YOU want!
    The breast reduction scares me. I see the before and afters, and hear about women who are so happy after years of back pain. I think its because of general anesthetic, thats holding me back from it.
    MaMere
    Tue Mar 26, 2013 7:38 pm
    Food.com Groupie
    racrgal wrote:
    I've had microderm, paid for it myself, and would do it again but I have developed roseaca. I'm happy to hear there might be a laser treatment for the condition. I'll certainly look into that.

    Due to the fact I've had back/shoulder aches since my teens, I've considered a breast reduction UNTIL I fully read up on the surgery. For right now I'm going to pass on the breast reduction. Too many possible side effects. No lift either. If I was going to do a lift, I'd go for the reduction.

    I was blessed with good genes but am not fond of the laugh lines. Maybe a little laser zap to those lines. A full face lift, NO. I want to keep looking like me. I've seen VERY few surgical face lifts that I thought were good. (Keep in mind I live in So Cal with some of the best plastic surgeons in the country.) Still no face lift for me.

    What I am considering (no matter who pays) is hair. Yes, I know that sounds odd but when my thyroid went nuts my hair started getting very thin. Having baby fine hair to start with meant I need all the hair I had.

    For right now, not much work for me. icon_cool.gif


    yea, no major work for me either Sissy icon_wink.gif
    After you got everything squared with the thyroid, does the hair recover somewhat, or no?
    The Doctor said yesterday if I opt for "lips" again he will fill in the lower lines around the mouth with restylane.
    I've noticed a few friends that have had both microdermabrasion and glycolic peels are able to get rid of the finer lines with the treatments. I'm with you though, I don't want a full facelift, eye lift, brow lift, brazillian butt, wrinkles pulled from chest, implants, (should I go on?!) like some ahem women we know icon_wink.gif
    I just want a simple lube oil n filter done on this ol gal and send me on my way.
    Olive*
    Tue Mar 26, 2013 7:47 pm
    Food.com Groupie
    MaMere wrote:
    I hope you get the go ahead this summer, if that is what YOU want!
    The breast reduction scares me. I see the before and afters, and hear about women who are so happy after years of back pain. I think its because of general anesthetic, thats holding me back from it.


    That’s what bothers me the most...anesthesia with intubation. I had to have some minor outpatient surgery a few years ago. During the very short surgery, my neck was over hyper-extended. I had chronic neck pain 24-7 for nearly a year and a half. icon_cry.gif It was not fun and very painful. I am very cautious about any surgery with intubation. I avoid it if I can.
    MaMere
    Tue Mar 26, 2013 7:51 pm
    Food.com Groupie
    Olive* wrote:
    MaMere wrote:
    I hope you get the go ahead this summer, if that is what YOU want!
    The breast reduction scares me. I see the before and afters, and hear about women who are so happy after years of back pain. I think its because of general anesthetic, thats holding me back from it.


    That’s what bothers me the most...anesthesia with intubation. I had to have some minor outpatient surgery a few years ago. During the very short surgery, my neck was over hyper-extended. I had chronic neck pain 24-7 for nearly a year and a half. icon_cry.gif It was not fun and very painful. I am very cautious about any surgery with intubation. I avoid it if I can.


    icon_eek.gif i am so sorry that happened to you, Olive.
    You know, its hard enough for someone to psych themselves up for surgery, let alone have something like that happen to them.
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