Does Insurance Cover Hernia Repair?

I was told i had a small hernia in my belly, will my insurance pay for that to get fixed?

Doctor Answers 6

Have your doctor check for you

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Coverage for a hernia depends upon the size, location, your symptoms, the state you live in, and your insurance.


You need to be evaluated by a plastic surgeon and they will try to obtain preauthorization on your behalf.

Los Angeles Plastic Surgeon
4.6 out of 5 stars 49 reviews

Does Insurance Cover Hernia Repair?

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You would have to check with your own carrier, but hernia repair is usually a covered procedure. Your surgeon will know the pre-authorization process that is often requiredl

All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon

Does Insurance Cover Hernia Repair?

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If it is a true hernia that has been confirmed by CT scan of the anterior abdominal wall, insurance coverage may be available.  However, it depends on the insurance policy and whether the doctor will agree to get involved with billing your insurance.

Ruben B. Abrams, MD, FACS
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 19 reviews

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Insurance coverage for hernia repair

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The short answer is that it depends on your insurance company and your individual policy. You should talk to your surgeon and get the procedure prior authorized. Good luck to you.

Margaret Skiles, MD (retired)
Sacramento Plastic Surgeon

Hernia repair with tummy tuck might be a covered benefit

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Those that do have a small umbilical or ventral hernia can seek insurance coverage for that portion of the procedure. The coverage will depend on a predetermination by your particular insurance plan.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 44 reviews

Hernia Repair Covered through Insurance Plan?

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Difficult to answer specifically,  given the different insurance policies out there, but generally speaking,  hernia repairs are often “covered” through insurance plans. Best to check with your specific company.

 Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.