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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 (9)

Labiaplasty and insurance

+1

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

Wellesley Plastic Surgeon
4.5 out of 5 stars 9 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.

Web reference: http://www.drvitenas.com/labiaplasty.html

Houston Plastic Surgeon
5.0 out of 5 stars 32 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... 

Jacksonville Plastic Surgeon
5.0 out of 5 stars 17 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. 

Web reference: http://www.karemd.com

Los Angeles Plastic Surgeon
5.0 out of 5 stars 43 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.

Washington DC Plastic Surgeon
4.5 out of 5 stars 17 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.
 

Miami Plastic Surgeon
4.5 out of 5 stars 41 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.

Orange Plastic Surgeon
5.0 out of 5 stars 22 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.

Web reference: http://www.bodysculptor.com/labiaplasty.html

Chicago Plastic Surgeon
5.0 out of 5 stars 39 reviews

Labiaplasty is usually considered a cosmetic procedure

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Labiaplasty is performed by both gynecologists and plastic surgeons. It is usually considered to be a cosmetic procedure and it is rare to get it covered by insurance.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 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.