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Will Insurance Pay for a Mommy Makeover?

asked 10 months ago by 783466anon in New Jersey
Latest answer by Vivek Bansal, MD
Question viewed 570 times
Tags: diastasis recti, insurance, umbilical hernia

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.

18 answers to Will Insurance Pay for a Mommy Makeover?

+3

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... more
Kathleen Waldorf, MD

Portland Plastic Surgeon
+2

Umbilical hernia

Insurance will pay for a hernia repair almost always. They will not pay for diastasis recti repair. They will pay for a breast reduction if you meet the criteria. They will not pay for a augmentation or lift. They may pay for a panniculectomy if you skin hanging over 2 inches. This is not a tummy tuck. They will not pay for a tummy tuck or mommy makeover.
William Alan Dulin, MD

Dallas Plastic Surgeon
+1

Mommy Makeover

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.
Vivek Bansal, MD

Danville Plastic Surgeon
+1

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... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

www.poustiplasticsurgery.com

+1

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.
David Stoker, MD

Los Angeles Plastic Surgeon
+1

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.
Richard Linderman, MD

Indianapolis Plastic Surgeon
+1

Insurance and mommy makeover

Hello 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: umbilical hernia ventral hernia breast reduction panniculectomy All the best, Dr Repta
Remus Repta, MD

Phoenix Plastic Surgeon

www.aaaplasticsurgery.com

+1

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. Best wishes, Dr.Bruno
William Bruno, MD

Beverly Hills Plastic Surgeon
+1

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.
Thomas Fiala, MD

Altamonte Springs Plastic Surgeon
+1

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... more
Steven Turkeltaub, MD

Scottsdale Plastic Surgeon
+1

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.
Arnold S. Breitbart, MD

Long Island Plastic Surgeon
+1

No

You are basically on your own. Even if the insurance company pays for the umbilical hernia, it will be a minor part of the whole procedure. This is cosmetic surgery and about 99% of all insurance companies do not pay for cosmetic procedures.
William B. Rosenblatt, MD

New York Plastic Surgeon
+1

Insurance for Mommy Makeover

Mommy Makeover usually consists of an abdominoplasty, liposuction and a breast lift with or without implants. This is a cosmetic procedure and is not covered by insurance. An umbilical hernia may be covered by insurance, but this does not mean that they will cover the rest of the surgery. Good Luck.
David Shafer, MD

New York Plastic Surgeon

www.ShaferPlasticSurgery.com

+1

Umbilical hernia repair covered by insurance but not 'Mommy Make Over'

Only the umbilical hernia repair would be covered by insurance but everything else in a Mommy Make over is not and is considered cosmetic. Best wishes.
Louise Ferland, MD

Richmond Plastic Surgeon
+1

Insurance for a momy make-over

Hernias are usually covered by insurance, but rectus diastasis is usually not. Insurance may cover you if you have enough hanging skin that you have a history of rashes and other related problems. In my experience the hanging tummy skin has to completely cover the pubic area and there has to be documentation of rashes or skin ulcers before insurance companies are willing to consider this a non-cosmetic procedure.
Daniel Greenwald, MD

Tampa Plastic Surgeon

bayshoreplasticsurgery.com

+1

Insurance coverage of procedures

Umbilical hernia repair is covered by health insurance. Abdominoplasty and diastasis recti repair are cosmetic procedures that are not covered by health insurance. If you have hanging abdominal skin that is subject to skin infections removal of the lower abdominal skin (panniculectomy) would be a covered procedure. The important thing is to have clear medical record documentation of your current condition (hernia etc.) and insurance clearance for the covered portions of the surgery... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Mommy makeover insurance coverage

Medically indicated procedures, such as repair of a hernia, are covered by your insurance. The cosmetic portions are not,
David A. Lickstein, MD

Miami Plastic Surgeon
+1

Insurance coverage for hernia repair as part of Mommy Makeover surgery

If you have a symptomatic umbilical hernia, then insurance will pay for that procedure. The umbilical hernia can usually be repaired at the time of a tummy tuck, but if its large, it might make more sense to do the repair prior to abdominoplasty. The rectus diastasis is a cosmetic problem, and it is not a hernia. Insurance companies do not, (and should not) pay for cosmetic procedures, which includes repair of rectus diastasis during abdominoplasty.
Scott Sattler, MD

Bellevue Plastic Surgeon

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