Insurance coverage on Tummy Tuck for relieving pain?

Iam a female police officer, who has had three children. I am thinking about having a tummy tuck, because when I wear my gun belt, the loose skin below the belt is bothered, giving me a sharp pain in the stomach. I tried to increase the amount of running I do to no avail. Do you believe this would be a work-related or a medical condition that my insurance company might cover? I am also looking to remove the stretch marks from having kids. Kind regards.

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7 answers to “Insurance coverage on Tummy Tuck for...”

A: Dicey

Scott E. Kasden, MD

There are so many variables, it is impossible to say.  It is worth talking with your human resources department so they can review policy guidelines.  Also, the plastic surgeon should weigh in with his thoughts. Good luck however.

A: Tummy tuck and insurance coverage.

George J. Beraka, MD

Hi! Your argument is a reasonable one.  But I have to tell you that over the last 20 years, we have tried many times to get insurance reimbursement for situations similar to yours.  Our experience is that abdominoplasty is always considered cosmetic surgery and not covered by insurance.

A: Getting insurance to pay for a tummy tuck

Jeffrey E. Schreiber, MD

Unfortunately, this is almost never happens.  However, if you happen to have a hernia as a result of having you children, then the tummy tuck can be combined with a hernia repair.  This may help save some money when it comes to the anesthesia and facility fees.  Talk with your plastic surgeon... more

A: Abdominoplasty and insurance

Elan B. Singer, MD

Greetings Officer Dtesta!  There are many women in your position.  Although your complaints are legimate from a medical necessity point of view, insurance companies view abdominoplasty as a cosmetic procedure.  If you were to try to submit it for preauthorization, the denial letter would read,... more

A: Insurance coverage for a tummy tuck, unlikely

George Marosan, MD

A tummy tuck or abdominoplasty is considered a cosmetic procedure and insurance co. do not cover it. Excess loose skin in the lower abdomen which is irritated by friction, clothing, moisture in the folds leading to infections and skin breakdown can be removed by a general surgeon or plastic surgeon and... more

A: Insurance Coverage of Tummy Tuck

John Whitt, MD

It is unusual for a TT to be covered by insurance.  There are some situations, however, in which it can be covered.  You should seek a Board-certified Plastic Surgeon who participates with your ins. co. for a consultation.  He/she can then write the ins. co. to see if it might be covered.

A: Will insurance cover part of tummy tuck fees?

Karen M. Horton, MD

A tummy tuck (abdominoplasty) is often done for both cosmetic and functional concerns. Often, after a woman has completed her childbearing, there can be excess skin and fat in the lower abdomen, together with separation of the rectus abdominis muscles and rarely, hernia formation in the abdominal region. If... more

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