large bulge above the waist..15 years ago had a tummy tuck. I should get a mri and see my doctor..I also have diverticulosis
Will my Insurance Cover a Tummy Tuck Revision Above my Belly Button
Doctor Answers (7)
Insurance coverage for TT
Insurance coverage cannot be used for cosmetic surgery. Most insurance policies explicitly state that. Moreover, many do do even cover revisions unless they are of detriment to your health and not caused by cosmetic surgery. Its a gray area and I would not expect any help from the insurance companies unless your doctor detects a true medical condition.
Insurance will not cover for TT revision.
Unless you have hernia, your insurance company will not cover for the TT revision. The bulge may be due to stretched out muscle, excess fat, or hernia. Physical examination with/without radiographic studies will demonstrate whether you have a hernia or not. Without a hernia, a bulge above the belly button is not deemed medically necessary to be covered by insurance.
Web reference: http://www.drkimplasticsurgery.com
Insurance coverage for tummy tuck revision
Thank you for the question. In general, insurance companies do not cover revision tummy tucks. It would difficult to comment on the large bulge without a formal examination.
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Will my Insurance Cover a Tummy Tuck Revision?
If the bulge is a true hernia, you should expect coverage for the hernia repair, but not for revision of the TT. The usual imaging study for an abdominal wall hernia is a CT scan, which may be appropriate if your doctor feels you have a hernia that warrants surgical repair.
Depending upon where you live, if you do have a hernia years after a tummy tuck, you may well be better off seeing a general surgeon with expertise in hernia repair.
Revision of Tummy Tuck is always a cosmetic operation
Unless the bulge you are describing can be proven to be a true hernia, revision of your tummy tuck surgery would always be considered a cosmetic procedure and would not be covered under any insurance plan.
Web reference: http://www.DrArmandoSoto.com
Revision Tummy Tuck and Insurance Coverage?
Thank you for the question.
Although not possible to give you precise advice without direct examination, there is nothing in your description that sounds “medically necessary”. Direct communication with your insurance company may be more helpful to you.
Insurance will not cover any procedures for cosmetic contouring of your abdomen. If your bulge is an abdominal wall hernia, then insurance companies will likely cover just the hernia repair.
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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