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Will my Insurance Pay for my Tummy Tuck?

Will my Insurance Pay for my Tummy Tuck?

Doctor Answers 13

Will my Insurance Pay for my Tummy Tuck?

I have never had an "insurance" entity authorize  tummy tuck surgery. In other words, insurance companies do not consider this operation medically necessary. Sometimes, however insurance companies will cover excision of lower abdominal wall skin/apron;  this operation is called a panniculectomy. Best wishes.

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Usually not

You will have to consult your insurance provider to find out if your tummy tuck is covered. However, in general, the answer would be no unless it would resolve a physical impairment directly caused by excess skin and fat as well as separated muscles in the area you want to target, and a tummy tuck is proven to be the most suitable treatment for you. 

No

There are two types

Pannulectomy, which is removal of just the saggy tissue that hangs below the groin. It has its own billing code, or CPT. It is just amputation of the excess skin without shaping.

Abdominoplasty which involves excess skin removal, liposuction, tightening the abdominal wall, some shaping.

Abdominoplasty is cosmetic.

With a lot of loose skin ( a rule of thumb is the pannus or skin hangs below the genitals) and documentation of rashes, and other health problems a  few insurance companies will cover pannulectomy.


 

Benjamin Van Raalte, MD
Davenport Plastic Surgeon
4.5 out of 5 stars 26 reviews

Will my insurance Pay for my Tummy Tuck?

First of all thank you for the question.  In general, insurance typically does not pay for a tummy tuck because it is considered a cosmetic surgery.  I would recommend checking with your insurance company for verification. Best of luck to you.

Heather Rocheford, MD
Minneapolis Plastic Surgeon
5.0 out of 5 stars 15 reviews

Will my Insurance Pay for my Tummy Tuck?

This is a good question for Kathleen Sebelius at the Department of Health and Human Services, or perhaps for President Obama.  Not sure whether or not the Affordable Care Act includes provisions for tummy tuck surgery.  I heard it is 2300 pages long, there must be some circumstance or situation upon which tummy tuck would be a covered benefit.  Maybe it depends on the State you live in?

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 40 reviews

Medical insurance & Tummy tucks

None of the cosmetic surgeries are covered by any medical insurance no matter how heavy the premium. In patients who are undergoing a tummy tuck and present with an umbilical hernia (documented on USG), some companies might agree to pay a part of the costs for the umbilical hernia repair. The rest of the costs have to be borne by you.

Does insurance cover tummy tucks.

Tummy tucks are not covered. If you have a large amount of hanging skin, a panniculectomy may be covered but this just removes the hanging skin, nothing more. 

Brian Dorner, MD
Columbus Plastic Surgeon
4.5 out of 5 stars 11 reviews

Will my Insurance Pay for my Tummy Tuck?

Cosmetic surgery is NEVER health insurance covered. If you and the surgeon desire to commit "fraud" than that is another issue! 

Insurance will not cover a tummy tuck.

Ask your insurer, but it is rare that an insurance company would cover cosmetic surgery.

Insurance does not pay for tummy tucks

No, your insurance company will not pay for a tummy tuck as this is a cosmetic procedure.

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.