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 (11)

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!


Scottsdale Plastic Surgeon
5.0 out of 5 stars 11 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 40 reviews

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
4.5 out of 5 stars 12 reviews

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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
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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
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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 22 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 64 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

Insurance coverage and labiaplasty

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Yes, Gynecologists do perform this surgery.

However, a year ago their society American College of Obstetrics and Gyneocology (ACOG) came out with a position statement in 2007 that stated vaginal cosmetic surgery procedures " "are not medically indicated, nor is there documentation of their safety and effectiveness."

Many insurance companies have used this as justification to deny coverage. However, this depends on the insurance carrier and the provisions of your benefit coverage.

As a plastic surgeon, I and my specialty are relatively comfortable with performing elective procedures that are not necessarily medically necessary but that do provide the patient with tremendous satisfaction. Our goal is to deliver these services with realistic expectations and with relatively low risk. However, any procedure does carry risk.

You could consdier going in for a consultation to have a predetermination of benefits letter prepared and submitted to your insurance carrier to discover the possibility of coverage. Providers will typically charge for this service.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 43 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.