I have both an umbilical hernia and diastasis recti, which give me pain and other issues. Does anyone know if my insurance will pay for all or part of the surgery? Thanks.
Will Insurance Pay for a Mommy Makeover?
Doctor Answers 20
Will insurance pay for a Mommy Makeover
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Insurance Coverage & Mommy Makeover Surgery
It would be unusual for an insurance company to cover the expense of a mommy makeover procedure. Although your umbilical hernia would probably be covered, the mommy makeover would be considered cosmetic. If the umbilical hernia was repaired at the time of the mommy makeover, your insurance carrier might cover a portion of the expense. It’s important to discuss this issue with your surgeon before proceeding with surgery.
It is rare for insurance to pay for the MM part, but the muscle portion may qualify if you find a surgeon in network and a surgeon to do the procedure for you cosmetically.
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Insurance covering Mommy Makeover
Thank you for your question.
I think that insurance may cover some portion of the abdominal surgery but probably not the "mommy makeover" all together. You need to check with your insurance company and also find a surgeon who is willing to perform the procedure under your insurance.
Some offices will do the procedure for you as a "cash patient" and then bill the insurance afterwards to see what they pay and refund the patient. Each office is different and each insurance company has their own rules.
Make some calls to see what you can find.
Mommy Makeover Insurance Payment
It's unlikely that your insurance will pay for a mommy makeover, because much of the operation is cosmetic in nature. If you have an umbilical hernia repair as part of your operation, it is possible that your insurance will cover that portion of the operation.
Insurance for Mommy Makeover
A mommy makeover is usually a combination surgery of tummy tuck and breast augmentation or breast lift. While your insurance may pay for your hernia repair which could be done at the same time it will not cover the costs of the mommy makeover.
Insurance and mommy makeover
A mommy makeover procedure is generally considered to be any combination of procedures that include abdominal and breast contouring. Insurance coverage of individual components of a mommy makeover procedure is rare but may include:
All the best,
Insurance may cover only a hernia; not a mommy makeover
If you have an umbilical (belly button) hernia, this may be covered by your health insurance. However a tummy tuck and any breast lift with or without breast implants will not be covered as this is considered "cosmetic" and not reconstructive or functional. Consult with a board certified plastic surgeon to determine if you are a good candidate and to see if your hernia may be covered.
Insurance coverage for a "mommy makeover"
The term "mommy makeover" usually refers to a combination of procedures directed at restoring some of the changes seen in a woman's body after pregnancy and nursing. These include abdominoplasty, which removes excess skin and fat from the abdomen and tightens the muscle layer which has often been stretched, and breast rejuvenation such as breast lift, augmentation or both. These procedures are considered cosmetic and therefore not usually covered by health insurance plans.
Getting insurance to pay...
Typically, even with good insurance, the most you might expect would be a partial payment - covering the small portion of the total procedure which is related to the umbilical hernia repair.
Insurance companies don't typically pay for repair of rectus diastasis or any of the rest of the tummy tuck procedure, even for people that have back pain. Sorry.