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How Can I Get Surgery For My Diastasis Recti if Doc Says I Need it, But Medicaid Won't Cover it? (photo)

I have had three babies almost back to back and nursed the entire time. I have severe Diastasis Recti and it causes awful pain in my stomach, abdomen, and back all day everyday but I have medicaid and they say the surgery is needed but they won't cover it. How can I get the surgery I need? I am a full time mommy and college student and my fiance is a painter that struggles to pay our bills. I just want to stop hurting and be able to hold my babies!!!

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1 Doctor Answer | Asked by ashtibula03

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Medicaid will not cover a tummy tuck, but may cover a hernia repair.

I'm sorry to see your severely stretched abdominal wall fascia, and understand that pain can certainly be a part of this degree of stretch and protrusion. But, as a reviewer for Medicare/Medicaid for many years, I can tell you that pain alone is very subjective and is not sufficient to qualify for insurance reimbursement (or Medicaid coverage). A true hernia (not just stretching of the abdominal wall fascia, even if severe) can be symptomatic, medically dangerous, and does... more

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