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 (18)
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.
Web reference: http://www.elitemdspa.info/
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.
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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,
Web reference: http://aaaplasticsurgery.com
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.
Mommy Makeovers are largely or totally cosmetic in nature
A Mommy Makeover constitutes a variable combination of procedures that are usually considered to be cosmetic in nature and therefore not covered by insurance with rare exception. This usually includes abdominal and breast procedures such as a full or mini tummy tuck, breast augmentation with or without a breast lift and possibly liposuction. Breast reductions, if fufilling insurance mandates, will often be covered. A true ventral/umbilical hernia will also usually be covered but this is only a fairly small portion of the overall cost. A diastasis recti is not covered (this is a bringing together of the abdominal wall muscles as part of a tummy tuck).
Web reference: http://www.turkeltaub.com
Insurance does not pay for Mommy Makeovers
A Mommy Makeover, which is generally a tummy tuck and breast augmentation and/or lift, is considered a cosmetic procedure and is not covered by insurance. Diastatis recti is also generally not covered by insurance. Umbilical hernia repair is usually covered by insurance, so only this portion of the procedure may be covered.
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.
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