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why would an insurance pay for a panniculectomy and not an abdominalplasty they r same?

why would an insurance pay for a panniculectomy and not an abdominalplasty are they not the same procedure? After having a gastric bypass would an insurance not pay for a panniculectomy (tummy tuck) after loosing all that weight?

Doctor Answers (2)

Panniculectomy is different from abdominoplasty

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A panniculectomy is exactly what the term describes: removal of the pannus. Only what is hanging down below the patient’s waistline is removed, and no undermining on the abdomen itself is performed. This is why it is different from a tummy tuck. A panniculectomy (pannus removal) can sometimes be covered by insurance, however you should contact your provider to see if this is true for you. 

 


Toronto Plastic Surgeon
5.0 out of 5 stars 63 reviews

Insurance and abdominoplasty

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Insurance coverage is variable. each carrier has very specific criteria like documented rashes and open sores for a certain period of time, attempts at weight loss etc.. No insurance covers tightening of your core muscle (abdominoplasty).  Tummy tuck is mainly to improve shape and contour by plicating your core tight then re-draping the skin. Without the core tightening (muscle repair), its not a tummy tuck, but a panniculectomy (skin and fat resection). Massive weight loss almost always requires tightening of your core but if approved fro a panniculectomy only then core will not be tightend by PS.. See a board certified plastic surgeon.

Raj S. Ambay, MD
Tampa Plastic Surgeon
4.0 out of 5 stars 15 reviews

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