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There was a time about 25 years ago when separation of the rectus muscles after childbearing known as diastasis rectus was something that could be covered for treatment under insurance. Unfortunately, those days are long gone. Generally speaking tummy tucks a purely cosmetic surgery and fee for service.If you have a true abdominal wall hernia some of the costs may be defrayed depending upon your plastic surgeon in your health plan but even that is a long shot.Some patients with excessive skin and severe rashes or irritations qualify for skin excision under the health plan but it is difficult to get these things approved an exquisitely rare.If cost is an issue for you I would suggest to interview a few plastic surgeons and see which one is the best value. Value does not mean least expensive, but hopefully means the surgeon that you are most comfortable with but a reasonable price.Best
Occasionally if there is an associated medical problem such as chronic skin irritation due to excess skin insurance may play a part. Most the time however they do not cover this type of elective surgery.
Cosmetic abdominoplasty is not covered by any insurance I am aware of, but removal of extra skin after massive weight loss (panniculectomy) MIGHT be covered under certain conditions. If you are gaining weight that is a whole other topic since we know that we never use abdominoplasty or panniculectomy as weight loss procedures.
Insurance will not cover a tummy tuck as it is considered cosmetic. Some insurance companies may cover a panniculectomy.Kenneth Hughes, MDLos Angeles, CA
Usually a tummy tuck is not covered by insurance. In select instances, a panniculectomy (removal of overhanging skin) may be covered provided certain criteria are met, depending on your particular insurance company. Neither surgery is appropriate if you are gaining weight. Good luck.