Tummy Tuck: Q&A
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Are There Circumstances Where Insurance Covers a Tummy Tuck?
I have had 2 MAJOR abdominal surgeries. Now I have Rectus Diastasis!! I had an growth on my liver in 2009. They opened my abdomen to repair and took out half of my liver. One year later I was back in under the knife with a huge Hernia. The surgeon went into the same scar to repair this and used mesh. I have severe back pain on a daily basis, a huge belly with a "plateau". Saw a Plastic Surgeon- he does not accept insurance. Is there an instance where I can get insurance to cover the tummy tuck?
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7 Doctor Answers |
Asked by
08harleygirl
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In rare instances, insurance may cover a tummy tuck
Repair of separated muscles and or removal of loose, hanging skin caused by massive weight loss, pregnancy or multiple surgeries is often not covered by insurance. This varies from state to state and by insurance company. Excision after massive weight loss is often covered, but other causes are often not. It is worth seeing a surgeon certified by The American Board of Plastic Surgery who is on your insurance plan to discuss your options.
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Will insurance cover a Tummy Tuck....?
On extremely rare occasions insurance "may" cover a tummy tuck. What is more common is for them to cover what is called a Panniculectomy. The is basically a procedure for patients who have an overhanging roll of skin of the lower abdomen. But, even this must me "medically necessary". That means there has to be a good medical reason as to why you would need to have this removed. It cannot be just because you don't like it. Your back pain would be a...
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Insurance Coverage for a Tummy Tuck
Insurance companies usually do not like to pay for any procedure. Every insurance plan is different and so you will need to check with them specifically. It is very rare that the insurance will pay for a tummy tuck. Some possible indications are; if you have chronic infections or skin breakdown in the area underneath the pannus, If you have other chronic problems, back pain, henias, etc. Best to talk with your specific insurance company. Have the issue...
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Does insurance cover tummy tuck?
I have had only one patient approved by insurance in the past few years. She was status post a 150 lb weight loss, with a hanging panniculus so large that it hung midway to her knees. The skin under the crease had been so infected that she had been admitted to the hospital three times in a year and had become resistant to most antibiotics. Back pain should be treated orthopedically. A scar revision may be covered. I will also caution you that, given your medical history, you should know...
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Any insurance protects plastic aesthetic surgery excepts in accidents or breast reduction/ningun seguro proteje cirugias plastic
Perhaps you may inquire for previous surgeries and perhaps would it be authorized by previous exsisting scars proves on your belly
quiza tu puedas pedir por las cicatrices previas en tu abdomen , alguna concesion pero lo veo algo dificil
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Insurance Coverage for a Tummy Tuck
Each insurance company and plan has different guidelines for coverage. I the surgery is for cosmetic reasons then an insurance company will be unlikely to provide coverage.
There may be a few scenarios for patients who have a medical necessity that an insurance company may consider at least partial coverage for a tummy tuck.
1. If you primary care physician can document health issues which would be alleviated with a tummy tuck.
2. Patients who...
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Insurance does not usually cover surgery on the tummy (tummy tuck) if it is for appearance.
Thank you for your question.
As a surgeon, I do not represent nor can I speak for your insurance company or any other insurance company.
All I can tell you is this. If you have a recurrent hernia, then usually insurance will cover the hernia repair and placement of mesh because hernia is a medical condition that could result in severe medical problems, e.g.- bowel obstruction, incarceration, or strangulation.
If you want surgery on your tummy (or any other part of your...
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