What Are the Criteria for NHS to Cover Tummy Tuck?
- Asked by cc1521 in Northern Ireland
- 4 years ago
I am just after my third Cesarean section and my stomach has a large over hang which is dead muscle. I have tried everything to get it back into shape and nothing seems to be working for me.
I can't afford to pay for a Tummy Tuck and was wondering if I meet the criteria for the NHS to help me? Thanks
Tummy tuck insurance coverage
The best way to obtain information about insurance coverage is to contact your insurance company and ask for the specific policy statement on panniculectomy surgery. This will list the requirements and criteria needed to meet medical necessity. Best of luck!
NHS coverage of Tummy Tuck?
Thank you for the question.
Unfortunately, I do not know the answer to your question. It would be in your best interests to meet with well experienced plastic surgeons in your area who can guide you.
Panniculectomy vs. tummy tuck
If you have symptoms related to the overhanging skin, your insurance may pay for a "panniculectomy". This involves excising the skin and fat that overhangs your beltline and closing the wound. Depending on the position of your belly button, it may need to be removed. Your insurance will want to see evidence of skin rashes and sweating under your abdominal flap.
The insurance company is unlikely to pay for a tummy tuck which, in addition to a panniculectomy, involves more undermining, tightening the muscles and relocating the umbilicus.
Tummy tucks and cost
Unfortunately, insurance companies will not pay for a cosmetic tummy tuck. However, if you have a documented hernia or other abdominal wall problem, you may get this covered by NHS. Then, you may be able to save money on the anesthesia and facility fees if you get a tummy tuck at the same time that your hernia is repaired. Good luck!
Web reference: http://www.DrSchreiberPlasticSurgery.com
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.