Pain in Lower Abdomen From Excess Skin, Any Chances Insurance Will Pay for Tummy Tuck ?

asked 8 months ago by New.me in Dallas, TX
Latest answer by Tom J. Pousti, MD
Question viewed 248 times
Tags: extra skin, insurance, massive weight loss, menstruation, pain

After I lost about 150 lbs,now my abdomen hangs really low and covers my pubic area.During my Periods it hurts a lot in the lower abdomen,It feels like my ovaries are just hanging and someone is putting and hard.It is very painful I can barely walk normal during that time.It also happens after I workout or I am cleaning myself under the flap, that area is very sensitive.I have a LOT of skin hanging beyond my c-section area about 6 Inches below.Could it be due to hanging skin & will Insurace Pay?

8 answers to Pain in Lower Abdomen From Excess Skin, Any Chances Insurance Will Pay for Tummy Tuck ?

Insurance Coverage for Tummy Tuck

Thank you for the question. Unfortunately, unless you can demonstrate repeated infections related to the redundant skin flap, insurance companies will not cover the tummy tuck procedure. Given that the pain you are experiencing happens during your menstrual cycle it is not likely to be related to the abdominal wall skin. You may want to see your OB/GYN for consultation. I hope this helps.

Tom J. Pousti, MD
San Diego Plastic Surgeon

www.poustiplasticsurgery.com

Pain from excess abdominal skin

Panniculitis , or infections of the fat of the lower skin may be covered chronic intertriggo , infections in the fold may be covered most plans have gotten very difficult diabetes or other medical conditions and history of massive weight loss help

Jed H. Horowitz, MD
Orange County Plastic Surgeon

Any Chances Insurance Will Pay for Tummy Tuck ?

Insurance will NEVER knowingly pay for Tummy Tuck (Abdominoplasty) which involves relocation of the umbilcus, skin resection both below and above the belly button and muscle repair. Depending on the terms of YOUR policy it MAY partially pay for removal of the skin overhang, Panniculectomy (Apron Resection). Peter A Aldea, MD

Peter A. Aldea, MD
Memphis Plastic Surgeon

Insurance may cover a panniculectomy

In general, insurance companies do not cover tummy tucks but they may cover removal on excess skin and fat on the lower abdomen. This procedure is known as a pannuculectomy. A tummy tuck normally includes removing excess skin and fat, tightening the abdominal muscles and repositioning the skin around the belly button. As the muscle tightening and moving the skin around the umbilicus have not been shown to relieve any physical symptoms, they are not generally covered by... more

James McMahan, MD
Columbus Plastic Surgeon

Tummy tuck from weight loss

Congratulations on losing all that weight! It would be nice if insurance companies would cover the cost of a tummy tuck, especially in your case, because of the symptoms you have, however, most insurance companies will not cover the cost of an abdominoplasty regardless of your symptoms. You can always ask them and try to get it preauthorized, but it is unlikely.

Ronald J. Edelson, MD
San Diego Plastic Surgeon

Excess Hanging Skin After Massive Weight Loss

See video response for full answer. Excess skin from weight loss can cause chronic rashes which can be treated by removing the pannus. Insurance may cover this. see video

Gary D. Breslow, MD
Paramus Plastic Surgeon

Abdominoplasty

Insurance does not pay for abdominoplasty,also excess skin does not result in pain.

Jay M. Pensler, MD
Chicago Plastic Surgeon

Insurance coverage for tummy tuck?

Insurance companies will not pay for a tummy tuck. What they will occaisionally pay for is a "panniculectomy". This is the removal of just the skin which hangs down over your pubic area, or lower tummy crease. In order to have this covered, it has to be "medically neccesary", and you need to be suffring from chronic skin irritation and breakdown as well as pain unresponsive to non-surgical treatment from your primary care doc. It needs to be documented for at least 3-6... more