Does Insurance Cover Labiaplasty?

Do gyn doctors also do this type of surgery? Is it covered by insurance or is it only done with cash?

Doctor Answers (12)

Insurance and Labiaplasty

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It is extremely rare that insurance would cover a labiaplasty as it is typically and aesthetic procedure done to enhance the appearance of the area.

The rare cases where it will be covered are typically for vaginal reconstruction after cancer or trauma and really would not be considered a labiaplasty and more of a reconstruction.

With this said the procedure is can be done under local anesthesia in many instances and which makes it very affordable for many patients.

Please consult your board certified plastic surgeon for surgical options.

Does insurance cover labiaplasty?

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Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance.  This is typically a cosmetic procedure and should not be covered.  Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you.  Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Labiaplasty Rarely Covered by Insurance

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Labiaplasty and Vaginoplasty to improve your appearance or augment the sexual experience is considered cosmetic and not covered by insurance which focuses on reconstructive surgery. It would be unusual to be covered by itself

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 45 reviews

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Labiaplasty and insurance

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In my experience, insurance coverage of a labiaplasty is very unusual. The insurance company needs evidence of medical necessity which is difficult to prove.

Christopher J. Davidson, MD, FACS
Wellesley Plastic Surgeon
5.0 out of 5 stars 14 reviews

Does Insurance Cover Labiaplasty?

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Unless there is a medical necessity with large labia then insurance carriers will not cover the expense of labiaplasty.  All of our labiaplasties are self-pay.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 38 reviews

Insurance to cover labiaplasty?

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Short Answer: NO

Long Answer: maybe... but far and away this is the exception. There would have to be a history of medical treatment for problems related to large labia minora... 

William A. Wallace, MD, FACS
Jacksonville Plastic Surgeon
5.0 out of 5 stars 19 reviews

Labiaplasty and insurance coverage

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Labiaplasty is usually not covered by your medical insurance.  However, there are always exceptions.  I would speak to your plastic surgeon about insurance coverage for this area. 

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 47 reviews

Labiaplasty not covered by insurance

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We have never had a patient succeed in getting labiaplasty covered by insurance.  Insurance companies may not weigh in on whether it is medically necessary or cosmetic, but may simply say that is not a covered benefit.

Navin K. Singh, MD
Washington DC Plastic Surgeon
4.5 out of 5 stars 23 reviews

Insurance coverage for labiaplasty

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Labiaplasty is a surgical technique to reduce the amount of skin and mucosal tissue in the labia of a female patient. This procedure is almost always considered cosmetic procedure and is rarely covered by insurance. However, every insurance plan is different. Your plastic surgeon can create a preauthorization letter for your insurance plan to see if they will cover this surgery for you.
 

Pat Pazmino, MD
Miami Plastic Surgeon
4.5 out of 5 stars 65 reviews

Labiaplasty not usually covered by insurance

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Labiaplasty is not usually covered by health insurance particularly not when a plastic surgeon performs it. Some GYNs will do it as an insurance procedure or so I have been told.

Best Regards.

John P. Di Saia, MD
Orange Plastic Surgeon
5.0 out of 5 stars 23 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.