I went to see about a tummy tuck and the doctor said I was a good candidate to have it done. As soon as she heard of my insurance, she said no they do not cover that. With me having hip pain, back pain, unable to do many exercises from excess skin, how does a doctor let my insurance company know it is not just cosmetic. She did not even try to help me get my insurance company to do the surgery. I would like some help in this area.
August 14, 2018
Answer: Tummy Tuck Thank you for your question. In general, a full tummy tuck is considered a cosmetic procedure and is not covered by insurance. If someone had bariatric surgery and has a hanging flap of skin causing irritation, infection, and ulcers, the removal of only the overhanging portion may potentially be covered. All the best
Helpful
August 14, 2018
Answer: Tummy Tuck Thank you for your question. In general, a full tummy tuck is considered a cosmetic procedure and is not covered by insurance. If someone had bariatric surgery and has a hanging flap of skin causing irritation, infection, and ulcers, the removal of only the overhanging portion may potentially be covered. All the best
Helpful
August 7, 2018
Answer: Tummy Tuck A tummy tuck is considered a cosmetic procedure and in general is not covered by insurance. There are similar procedures such as a panniculectomy (removing some of the low hanging skin) that are covered but do not have the same cosmetic result. Find a good PS that does a lot of tummy tucks and with their help you may be able to find the best way to finance a nice tummy tuck.Good luck,Jeremiah Redstone MD
Helpful
August 7, 2018
Answer: Tummy Tuck A tummy tuck is considered a cosmetic procedure and in general is not covered by insurance. There are similar procedures such as a panniculectomy (removing some of the low hanging skin) that are covered but do not have the same cosmetic result. Find a good PS that does a lot of tummy tucks and with their help you may be able to find the best way to finance a nice tummy tuck.Good luck,Jeremiah Redstone MD
Helpful
July 23, 2018
Answer: How to Convince Insurance Company to Cover Tummy Tuck? That is a very good question. Every country has different rules and regulations when it comes to insurance. Unfortunately, a tummy tuck is not covered by insurance in the US. In other places like Brazil, insurance covers some TTs when performed in teaching hospitals. A panniculectomy is covered. The problem is that this essentially only part of a TT, it will only get rid of the excess skin in the lower abdomen and it will not correct muscle separation. This should help with the pain and make exercising easier though. So if you want the procedure to be covered by insurance a Panniculectomy is your best option. Sorry, hope this helps, Dr. Miguel Mota
Helpful
July 23, 2018
Answer: How to Convince Insurance Company to Cover Tummy Tuck? That is a very good question. Every country has different rules and regulations when it comes to insurance. Unfortunately, a tummy tuck is not covered by insurance in the US. In other places like Brazil, insurance covers some TTs when performed in teaching hospitals. A panniculectomy is covered. The problem is that this essentially only part of a TT, it will only get rid of the excess skin in the lower abdomen and it will not correct muscle separation. This should help with the pain and make exercising easier though. So if you want the procedure to be covered by insurance a Panniculectomy is your best option. Sorry, hope this helps, Dr. Miguel Mota
Helpful