I went to see about a tummy tuck and the doctor said I was a good candidate to have it done. As soon as she heard of my insurance, she said no they do not cover that. With me having hip pain, back pain, unable to do many exercises from excess skin, how does a doctor let my insurance company know it is not just cosmetic. She did not even try to help me get my insurance company to do the surgery. I would like some help in this area.
Answer: Insurance payment for Tummy Tuck Thanks much for a reaching out. Having your insurance company pay for your tummy tuck can be a very difficult endeavor. One of the biggest things they consider a medical reason is recurrent skin rashes under the skin fold that hangs. They usually like this to have failed conservative treatment which includes creams and the like. Usually you would have to have seen a dermatologist for six months without any improvement for them to cover surgery. I hope this helps :-)
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CONTACT NOW Answer: Insurance payment for Tummy Tuck Thanks much for a reaching out. Having your insurance company pay for your tummy tuck can be a very difficult endeavor. One of the biggest things they consider a medical reason is recurrent skin rashes under the skin fold that hangs. They usually like this to have failed conservative treatment which includes creams and the like. Usually you would have to have seen a dermatologist for six months without any improvement for them to cover surgery. I hope this helps :-)
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CONTACT NOW Answer: Insurance Coverage for Tummy Tucks in Minneapolis Hi @Tech58, Insurance will cover medically necessary procedures. So if you have an apron of skin and fat hanging over causing rashes, irritation and skin infections then they may cover a procedure called a Panniculectomy. This is similar but NOT the same as a true tummy tuck. The Panniculectomy just cuts off the skin and fat but in a true tummy tuck I will remove skin and fat, tighten abdominal muscles and also perform some liposuction to really contour and improve the silhouette and final outcome. Unfortunately insurance rarely covers all of that. I hope this helps! Dr. Chopra, Plastic Surgeon Johns Hopkins Trained Face, Body and Breast Expert
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CONTACT NOW Answer: Insurance Coverage for Tummy Tucks in Minneapolis Hi @Tech58, Insurance will cover medically necessary procedures. So if you have an apron of skin and fat hanging over causing rashes, irritation and skin infections then they may cover a procedure called a Panniculectomy. This is similar but NOT the same as a true tummy tuck. The Panniculectomy just cuts off the skin and fat but in a true tummy tuck I will remove skin and fat, tighten abdominal muscles and also perform some liposuction to really contour and improve the silhouette and final outcome. Unfortunately insurance rarely covers all of that. I hope this helps! Dr. Chopra, Plastic Surgeon Johns Hopkins Trained Face, Body and Breast Expert
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February 5, 2020
Answer: Insurance pay for tummy tucks If your tummy tuck is purely for cosmetic reasons, your insurance company will most likely not pay for it. If you have a lot of loose lower abdominal skin causing rashes unresponsive to medical care, etc, then they may pay for part or all of it. I suggest discussing this with your board certified plastic surgeon.
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Answer: Insurance pay for tummy tucks If your tummy tuck is purely for cosmetic reasons, your insurance company will most likely not pay for it. If you have a lot of loose lower abdominal skin causing rashes unresponsive to medical care, etc, then they may pay for part or all of it. I suggest discussing this with your board certified plastic surgeon.
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February 26, 2019
Answer: Insurance Thank you for your question. An insurance company may cover the removal of excess skin below your belly button (called a "panniculectomy") if you have documented chronic infections, or a history of massive weight loss if that's part of your benefts. They typically don't cover a full "abdominoplasty" (repairing the muscles with repositioning the belly button). I would contact your insurance company to discuss your benefits.Best,Dr. Dan KrochmalMAE Plastic SurgeryNorthbrook, IL
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CONTACT NOW February 26, 2019
Answer: Insurance Thank you for your question. An insurance company may cover the removal of excess skin below your belly button (called a "panniculectomy") if you have documented chronic infections, or a history of massive weight loss if that's part of your benefts. They typically don't cover a full "abdominoplasty" (repairing the muscles with repositioning the belly button). I would contact your insurance company to discuss your benefits.Best,Dr. Dan KrochmalMAE Plastic SurgeryNorthbrook, IL
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October 29, 2018
Answer: Insurance coverage of tummy tucks - Not happening Many years ago insurance companies would sometimes cover tummy tucks. This is no longer the case. Unfortnately patients are led to believe this can happen by uninformed primary care docs or other mis-informed people. Tummy tucks are performed in order to improve the appearance of the abdomen by removing skin and tightening the muscles. Insurance companies only cover "medically necessary" procedures. Rarely, mostly after massive weight loss, there can be a heavy redundant lower abdominal fold, or pannus. If this pannus is causing probblems such as chronic skin breakdown or infection that remains resistant to maximal medical therapy, a panniculectomy can be performed that is sometimes covered by insurance plans. However, this should not be confused as giving you the same result as a tummy tuck. The panniculectomy involves only the removal of the lower fold.
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CONTACT NOW October 29, 2018
Answer: Insurance coverage of tummy tucks - Not happening Many years ago insurance companies would sometimes cover tummy tucks. This is no longer the case. Unfortnately patients are led to believe this can happen by uninformed primary care docs or other mis-informed people. Tummy tucks are performed in order to improve the appearance of the abdomen by removing skin and tightening the muscles. Insurance companies only cover "medically necessary" procedures. Rarely, mostly after massive weight loss, there can be a heavy redundant lower abdominal fold, or pannus. If this pannus is causing probblems such as chronic skin breakdown or infection that remains resistant to maximal medical therapy, a panniculectomy can be performed that is sometimes covered by insurance plans. However, this should not be confused as giving you the same result as a tummy tuck. The panniculectomy involves only the removal of the lower fold.
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November 30, 2018
Answer: Insurance coverage for tummy tuck A tummy tuck (abdominoplasty) is a cosmetic surgery, so it is NOT covered by insurance. This should not be confused with a panniculectomy, that can be covered under certain conditions set by your insurance company. The two procedures are very different! A tummy tuck involves skin undermining and tightening all the way up to the rib cage, "repositioning" of the umbilicus, tightening of the abdominal wall muscles, and is frequently combined with liposuction of the upper abdomen and flanks for better contouring. It is a wonderful aesthetic operation, with amazing results. A panniculectomy only involves removal of overhanging skin (apron) in the lower abdomen, which is about half the extent of skin removed in a typical tummy tuck. No surgery is done around or above the umbilicus, no muscle repair or tightening is done, and no contouring with lipo is involved. Therefore, it is NOT an aesthetic operation, but rather a surgery done to improve hygiene in the lower abdomen and supra-pubic area. Insurance companies have different criteria for approval of panniculectomy, but they usually require documentation of severe, recurrent rashes or skin infections not responsive to medications and topical agents. They also require photographs and medical records from all treating physicians as part of the pre-authorization process. When our patients meet the insurance criteria for panniculectomy, we help them get pre-authorization to cover that part only. This will offset some of the costs of the full tummy tuck or abdominoplasty surgery. I recommend that you consult with Board certified plastic surgeon(s) experienced in this type of surgery, where you can discuss your goals and expectations and find out if your insurance will cover any component of the tummy tuck. Best wishes!
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CONTACT NOW November 30, 2018
Answer: Insurance coverage for tummy tuck A tummy tuck (abdominoplasty) is a cosmetic surgery, so it is NOT covered by insurance. This should not be confused with a panniculectomy, that can be covered under certain conditions set by your insurance company. The two procedures are very different! A tummy tuck involves skin undermining and tightening all the way up to the rib cage, "repositioning" of the umbilicus, tightening of the abdominal wall muscles, and is frequently combined with liposuction of the upper abdomen and flanks for better contouring. It is a wonderful aesthetic operation, with amazing results. A panniculectomy only involves removal of overhanging skin (apron) in the lower abdomen, which is about half the extent of skin removed in a typical tummy tuck. No surgery is done around or above the umbilicus, no muscle repair or tightening is done, and no contouring with lipo is involved. Therefore, it is NOT an aesthetic operation, but rather a surgery done to improve hygiene in the lower abdomen and supra-pubic area. Insurance companies have different criteria for approval of panniculectomy, but they usually require documentation of severe, recurrent rashes or skin infections not responsive to medications and topical agents. They also require photographs and medical records from all treating physicians as part of the pre-authorization process. When our patients meet the insurance criteria for panniculectomy, we help them get pre-authorization to cover that part only. This will offset some of the costs of the full tummy tuck or abdominoplasty surgery. I recommend that you consult with Board certified plastic surgeon(s) experienced in this type of surgery, where you can discuss your goals and expectations and find out if your insurance will cover any component of the tummy tuck. Best wishes!
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