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What Type of Insurance Do Most Doctors Take for Tummy Tuck?
I have public aid for insurance. Do doctors take that for tummy tuck procedures or will I have to pay for it out of pocket?
Asked 28 months ago by
andrea1970 in illinois
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Insurance NEVER Pays for Tummy Tuck
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 skin impedes normal groin hygiene.
There are recalcitrant fungal infections beneath the skin folds.
The infections have progressed to bacterial infections, necessitating hospitalization and IV an
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Tummy tuck by insurance is not likely
While tummy tucks are not typically covered by insurance (they sometimes don't cover actual illnesses, much less cosmetic concerns) they may pay for a panniculectomy in certain cases. The difference is a panniculectomy entails removal of excess, hanging skin, but without the movement of the belly button, muscle/fascial tightening, liposuction, etc. In the past there was confusion over whether insurance may cover a tummy tuck due to CPT (billing) code discrepancies, but those CPT issues...
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Tummy tuck and insurance
Tummy tucks are not covered by insurance. They are cosmetic procedures that are designed to make you look better and fit into clothing better.
Hernia repairs, panniculectomy are often covered by insurcance and may be part of a tummy tuck but if there is a cosmetic nature to the procedure it is not covered.
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Insurance for Tummy Tuck
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Medical insurance does not pay for tummy tuck
I regret that you are in financial dire straits. But almost no one takes insurance for anything. When you purchase something, it is up to you to pay for it. Lawyers do not take insurance. Plumbers and Electricians do not take insurance. The vast majority of our service sector does not take insurance for anything.
To make things even more confusing medical insurance companies are actually LOSING money (despite raising premiums and lowering doctor fees every year). Don't believe it ? - Read -...
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Do plastic surgeons accept public aid for tummy tuck?
Most insurance companies do not cover abdominoplasty as it is an elective procedure. For patients with limited funds, one option is to contact a local teaching hospital that has a plastic surgery training program. Often these programs have clinics, run by the residents and supervised by the attendings. Patients can sometimes have elective surgery done through these clinics for a lower fee than a private plastic surgeon would charge. Hope this helps.
Tracy M. Pfeifer,MD, MS...
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