I have had four C-sections and have a few areas in my muscle wall that need to be repaired, beyond cosmetic issues. I am only about 10 pounds over my ideal weight but most of it is in my tummy. Will insurance cover any of the expense due to muscle damage?
Answer: Insurance coverage for muscle repair from c-sections damage? Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance. Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you. A discussion of the advantages and disadvantages will take place along with the risks and benefits. Insurance companies will vary on coverage and is always reasonable to discuss your issues with your surgeon and primary care. It would behoove you to get as much information as possible and even call your insurance yourself. Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!
Helpful 1 person found this helpful
Answer: Insurance coverage for muscle repair from c-sections damage? Hello! Thank you for your question! Surgical procedures for aesthetic purposes, to improve appearance, are not covered by insurance. Typically, these as well as complications resulting from such procedures are the responsibility of the patient. Procedures that are meant to correct functional issues and those which cause health-related issues should be covered by your insurance as a medical necessity, with proper examination and documentation. Some insurance plans have exclusion criteria for certain procedures. Also, it is an obligation of the surgeon not to attempt to authorize purely cosmetic procedures through insurance. Discuss your issues and complaints with a board-certified plastic surgeon to discuss these as well as to examine and assist you in deciding which procedure(s) will be the best for you. A discussion of the advantages and disadvantages will take place along with the risks and benefits. Insurance companies will vary on coverage and is always reasonable to discuss your issues with your surgeon and primary care. It would behoove you to get as much information as possible and even call your insurance yourself. Certainly, pay in advance prior to your surgical procedure and options such as financing are available if you qualify. Hope that this helps! Best wishes!
Helpful 1 person found this helpful
Answer: Insurance and TT Unfortunately, insurance does not cover a tummy tuck. Occasionally with documentation of recurrent infection they will pay for a panniculectomy (simply removing loose skin).#tt#tummytuck
Helpful
Answer: Insurance and TT Unfortunately, insurance does not cover a tummy tuck. Occasionally with documentation of recurrent infection they will pay for a panniculectomy (simply removing loose skin).#tt#tummytuck
Helpful
September 1, 2015
Answer: Insurance Coverage for Muscle Prepare after C-section?
Thank you for the question and congratulations on your weight control.
It would be in your best interests to be examined by well experienced board-certified plastic surgeons who can then further guide you. Generally, it is becoming more and more difficult to obtain insurance coverage but if there is “muscle damage” or herniation is present, then this may be possible.
Best wishes.
Helpful
September 1, 2015
Answer: Insurance Coverage for Muscle Prepare after C-section?
Thank you for the question and congratulations on your weight control.
It would be in your best interests to be examined by well experienced board-certified plastic surgeons who can then further guide you. Generally, it is becoming more and more difficult to obtain insurance coverage but if there is “muscle damage” or herniation is present, then this may be possible.
Best wishes.
Helpful
October 3, 2009
Answer: Abdominal Wall Hernia If you have an abdominal wall hernia, then insurance will cover this. But what they wont cover is thightening of the abdominal wall and excision of the skin, i.e. abdominoplasty. You need to see a general surgeon to see if you have a hernia that needs to be fixed. Good luck.
Helpful
October 3, 2009
Answer: Abdominal Wall Hernia If you have an abdominal wall hernia, then insurance will cover this. But what they wont cover is thightening of the abdominal wall and excision of the skin, i.e. abdominoplasty. You need to see a general surgeon to see if you have a hernia that needs to be fixed. Good luck.
Helpful
October 1, 2009
Answer: Insurance coverage for abdominal operations If the muscle damage has resulted in hernias, then insurance should cover this surgery. If you're looking to tighten the muscles and remove some excess skin and fat, then insurance may deny this as being considered a tummy tuck. However, if you do have a hernia and want a cosmetic tummy tuck at the same time, the insurance coverage will help defray some anesthesia and facility fees. Be sure to check out some before and after photos if you do want a tummy tuck to see what results you can expect.
Helpful
October 1, 2009
Answer: Insurance coverage for abdominal operations If the muscle damage has resulted in hernias, then insurance should cover this surgery. If you're looking to tighten the muscles and remove some excess skin and fat, then insurance may deny this as being considered a tummy tuck. However, if you do have a hernia and want a cosmetic tummy tuck at the same time, the insurance coverage will help defray some anesthesia and facility fees. Be sure to check out some before and after photos if you do want a tummy tuck to see what results you can expect.
Helpful