Why won't insurance companies cover abdominoplasty from pregnancy damage?

Why do insurance companies do not cover Tummy Tuck after pregnancy? Why, when there is so much scarring and damage, is it not treated as an injury that needs repair? It seems that damaged muscle and skin on any other area would be worthy of treatment--why not post-pregnancy damage? After 3 kids, I want a belly button and to sit down without extra skin touching my lap!

4 answers to “Why won't insurance companies cover...”

A: Insurance coverage for tummy tucks

Darrick E. Antell, MD

Your questions would be better addressed to your insurance company regarding the damage to your tummy after pregnancy. Quite simply, insurance companies cover as little as they possibly can.  Any payments made are considered a "loss" and as they are a business, and their main motive is profit... more

A: Tummy tucks and insurance

Jeffrey E. Schreiber, MD

This is great question, but it really boils down to the fact that a tummy tuck addresses mostly cosmetic concerns.  Even if you have difficulty with normal daily routines, insurance companies will most likely deny a tummy tuck procedure.  However, if you have a hernia or other abdominal wall scarring... more

A: Insurance for tummy tucks

Steven H. Schuster, MD

Dear EAJ, Remember that insurance companies are also in the business of making money. Not that I agree with them in their policies but unfortunately, they are able to set the rules. Don't believe for a minute that if health care reform goes through, it will be any better. Insurance companies do not view this... more

A: Insurance in plastic surgery

John P. Di Saia, MD

Hello, Often we get arguments from insurance companies for scar revisions from trauma and cancer surgery. Tummy tuck surgery is certainly at least in most part cosmetic, so they deny it on those grounds. They make the rules. Surgeons do not.

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