How to convince insurance company to cover tummy tuck?

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9 answers to “How to convince insurance company to...”

A: Your Insurance Company Will NEVER Pay for a Tummy Tuck

By Michael C. Pickart, MD - Ventura Plastic Surgeon

I think that you are confusing 2 separate procedures: panniculectomy abdominoplasty A panniculectomy is a functional procedure for removing excess skin and fat. An insurance company MAY authorize a panniculectomy if... The apron of excess abdominal skin impedes walking. The apron of excess abdominal... more

A: Tummy tuck and insurance

By Nina S. Naidu, MD - New York City Plastic Surgeon

Hi, the only thing that insurance companies will cover is a panniculectomy, which is removal of the overhanging skin. Most companies will ask for documentation that you have seen a dermatologist for recurring rashes between the skin folds, and that you have undergone a significant weight loss which... more

A: Abdominoplasty is not covered by insurance companies

By Sam Jejurikar, MD - Dallas Plastic Surgeon

Hi, Although most patients don't like it, abdominoplasty is considered a cosmetic surgery procedure and, as such, is not covered by insurance companies. The only operation that insurance companies will consider covering is a panniculectomy, in which a wedge resection of the lower abdominal skin is... more

A: Good luck on insurance coverage of Tummy Tuck

By Barry E. DiBernardo, MD - Montclair Plastic Surgeon

In general, the answer is NO. The only way you might have insurance coverage for tummy tuck is if you have constant rashes from the skin overlap and your dermatologist has tried for a long time unsuccessfully to treat it.

A: Insurance coverage for tummy tuck

By John P. Stratis, MD - Harrisburg Plastic Surgeon

Insurance companies do not cover tummy tucks, they are cosmetic. They do cover panniculectomy(removal of overhanging skin) when the patient meets the criteria. Each insurance company has their own criteria so you should talk to them first. They will also cover hernia repair but not the tightening of the... more

A: We have not had an insurance company cover abdominoplasty in over 15 years.

By Francisco Canales, MD - Sonoma Valley Plastic Surgeon

An abdominoplasty is an elective, cosmetic procedure, that is not generally in the covered benefits of any insurance company. There is no good correlation to hip pain and no certainty that any of these symptoms will improve. The insurance company is more likely to ask the patient to lose 25 pounds since... more

A: Tummy tuck or panniculectomy

By Walter D. Gracia, MD - Fort Worth Plastic Surgeon

Based on the photo this is not a tummy tuck, The abdomin is very large and hangs down below the pubic area. Sometimes the insurance will pay for a panniculectomy. The panniculectomy is the removal of the excess skin that hangs below the pubic area and nothing more to get A nice looking taylored abdomin... more

A: Insurance coverage for abdominoplasty

By Robin T.W. Yuan, MD - Beverly Hills Plastic Surgeon

Insurance companies have various criteria for deeming your condition severe enough and the surgery medically necessary. Obvious signs are frequent rashes requiring treatment, ulcerations of the skin, and infections (cellulitis) caused by open sores. It sounds as if this surgeon is not interested in doing the... more

A: How can I get insurance company to cover tummy-tuck?

By Tracy M. Pfeifer, MD - Manhattan Plastic Surgeon

Despite the fact that you could certainly have physical benefits from this surgery, such as reduced back pain, insurance companies consider this a cosmetic procedure. It is very unlikely you will get them to cover it. We see this all the time with our patients who have undergone weight loss, either... more