10 Cm Diastasis Rectus - Would That Be Considered a Medical Case with Insurance?

In my experience, insurance companies never cover the repair of rectus diastasis.

 Therefore, unfortunately, I think trying to get your insurance company to pay retroactively is likely a waste of your time.

Thanks for your question. Although 10cm is wide, it doesn't usually affect the function of your abdominal wall. Therefore the insurance company doesn't cover this type of surgery in my experience.

Diastasis recti is a midline separation between the rectus abdominis muscles.  It is a common and normal condition in newborns.  They usually grow out of it as the muscle grows.

Women typically develop it due to multiple pregnancies.  Women 12 or more weeks pregnant should avoid aggressive abdominal exercises, which can worsen the condition.

Insurance typically does not cover diastasis recti unless it is associated with symptomatic ventral or umbilical hernias.

If you paid for an abdominoplasty as a cosmetic procedure then there is no insurance claim to be made. If your surgeon told you he or she would file part of the surgery to your insurance company then it would typically be pre approved before the operation. As far as I know no insurance covers rectus diastasis repair. I hope this helps.

you clearly have the option to pursue cigna. they do not consider a diastasis recti to be medical y necessary and do not pay for the procedure