If I am able to get insurance to cover that, that would include the hospital and the anesthesiologist. Is is possible or legal too self pay for lypo or a breast lift during the procedure in addition to what insurance is willing to cover?
Answer: Insurance coverage for tummy tuck procedures Congrats on your weight loss - that is a great thing ! A tummy tuck procedure is a cosmetic operation. Our clinic will not bill insurance for cosmetic procedures.
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Answer: Insurance coverage for tummy tuck procedures Congrats on your weight loss - that is a great thing ! A tummy tuck procedure is a cosmetic operation. Our clinic will not bill insurance for cosmetic procedures.
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January 23, 2016
Answer: Abdominoplasty: insurance coverage Dear Ms, Rajanisha7,Thank you for your story and questions.Congratulations on your weight loss! If I understand your question (rephrased: "will insurance cover the costs to perform a abdominoplasty" I have copied directly from the American Medical Association:(1) Our AMA supports the following definitions of "cosmetic" and "reconstructive" surgery: Cosmetic surgery is performed to reshape normal structures of the body in order to improve the patient's appearance and self-esteem. Reconstructive surgery is performed on abnormal structures of the body, caused by congenital defects, developmental abnormalities, trauma, infection, tumors or disease. It is generally performed to improve function, but may also be done to approximate a normal appearance.(2) Our AMA encourages third party payers to use these definitions in determining services eligible for coverage under the plans they offer or administer.(CMS Rep. F, A-89; Reaffirmed: Sunset Report, A-00; Reaffirmed, A-03; Reaffirmed: CMS Rep. 4, A-13).In my experience, unfortunately most insurance companies will not cover what you desire without a physically limiting deformity. However it is always worth a try.Total cost based on:A)what part of the country you have your surgeryB)surgeons feesC)anesthesia fees D)facility feesE) special equipment feesusually costal areas, more experienced surgeons and operations done in a hospital setting are higher in total cost.I suggest you make several appointment with a experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally a members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600
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January 23, 2016
Answer: Abdominoplasty: insurance coverage Dear Ms, Rajanisha7,Thank you for your story and questions.Congratulations on your weight loss! If I understand your question (rephrased: "will insurance cover the costs to perform a abdominoplasty" I have copied directly from the American Medical Association:(1) Our AMA supports the following definitions of "cosmetic" and "reconstructive" surgery: Cosmetic surgery is performed to reshape normal structures of the body in order to improve the patient's appearance and self-esteem. Reconstructive surgery is performed on abnormal structures of the body, caused by congenital defects, developmental abnormalities, trauma, infection, tumors or disease. It is generally performed to improve function, but may also be done to approximate a normal appearance.(2) Our AMA encourages third party payers to use these definitions in determining services eligible for coverage under the plans they offer or administer.(CMS Rep. F, A-89; Reaffirmed: Sunset Report, A-00; Reaffirmed, A-03; Reaffirmed: CMS Rep. 4, A-13).In my experience, unfortunately most insurance companies will not cover what you desire without a physically limiting deformity. However it is always worth a try.Total cost based on:A)what part of the country you have your surgeryB)surgeons feesC)anesthesia fees D)facility feesE) special equipment feesusually costal areas, more experienced surgeons and operations done in a hospital setting are higher in total cost.I suggest you make several appointment with a experienced Plastic Surgeons who are Certified by the American Board of Plastic Surgery and ideally a members of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600
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January 22, 2016
Answer: I have recently lost over 100 lbs. My insurance sometimes covers abdominoplasty. Insurance may sometimes cover the hanging apron of fat and skin below the belly button. Procedures can be combined.Kenneth Hughes, MDBeverly Hills, CA
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January 22, 2016
Answer: I have recently lost over 100 lbs. My insurance sometimes covers abdominoplasty. Insurance may sometimes cover the hanging apron of fat and skin below the belly button. Procedures can be combined.Kenneth Hughes, MDBeverly Hills, CA
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January 21, 2016
Answer: Will insurance cover abdominoplasty after weight loss First of all, congratulations on your weight loss! That is certainly something you should be proud of accomplishing. Your question is a common one and one that is a bit misunderstood unfortunately. Insurance will NOT cover an abdominoplasty. What insurance WILL cover is known as a panniculectomy. It is important to understand the difference between the two. --An abdominoplasty is a procedure intended to recontour the entire abdomen. The skin from the lower edge of the rib cage down to the pelvis is elevated, excess is removed, and the remaining skin is tightened to a new contour. At the same time, the muscles are tightened and a new umbilicus (belly button) is constructed. This is a purely cosmetic procedure intended to improve the appearance of your body.--A panniculectomy is a procedure intended to remove overhanging skin that is causing a medical condition such as skin rashes, infection, etc. Only that skin that is overhanging (typically skin below the belly button) is removed. The muscle is not tightened and the remainder of the abdomen is not addressed. This procedure is covered by insurance only when it has been documented as a medical necessity.I would recommend that you seek out a consultation with a board certified plastic surgeon to discuss your options and candidacy. In cases where an insurance-covered surgery is being performed, additional cosmetic surgeries can be performed at the same time. The added costs of these procedures needs to be determined prior to surgery. Hope this helps and good luck!
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January 21, 2016
Answer: Will insurance cover abdominoplasty after weight loss First of all, congratulations on your weight loss! That is certainly something you should be proud of accomplishing. Your question is a common one and one that is a bit misunderstood unfortunately. Insurance will NOT cover an abdominoplasty. What insurance WILL cover is known as a panniculectomy. It is important to understand the difference between the two. --An abdominoplasty is a procedure intended to recontour the entire abdomen. The skin from the lower edge of the rib cage down to the pelvis is elevated, excess is removed, and the remaining skin is tightened to a new contour. At the same time, the muscles are tightened and a new umbilicus (belly button) is constructed. This is a purely cosmetic procedure intended to improve the appearance of your body.--A panniculectomy is a procedure intended to remove overhanging skin that is causing a medical condition such as skin rashes, infection, etc. Only that skin that is overhanging (typically skin below the belly button) is removed. The muscle is not tightened and the remainder of the abdomen is not addressed. This procedure is covered by insurance only when it has been documented as a medical necessity.I would recommend that you seek out a consultation with a board certified plastic surgeon to discuss your options and candidacy. In cases where an insurance-covered surgery is being performed, additional cosmetic surgeries can be performed at the same time. The added costs of these procedures needs to be determined prior to surgery. Hope this helps and good luck!
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January 21, 2016
Answer: Tummy tuck and insurance coverage Hello Thank you for your question and congratulations on your weight loss. Typically these surgeries are not covered. However, every insurance company is different state to state. You should check with your insurance company to fully understand. Best regards
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January 21, 2016
Answer: Tummy tuck and insurance coverage Hello Thank you for your question and congratulations on your weight loss. Typically these surgeries are not covered. However, every insurance company is different state to state. You should check with your insurance company to fully understand. Best regards
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