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As a provider I have never had success getting anyone approved for skin removal surgery based on symptoms alone. Typically, the skin must hang a certain amount (for example, for abdominal panniculectomy it must hang below the pubic bone) for insurance to cover the procedure. Even then, insurance will cover the basic skin removal but any additional cosmetic contouring would be at the cost of the patient.
Hi Magical502018,While insurance will typically pay for excision of hidradenitis as this is a legitimate medical condition, it will not necessarily pay for excision of excess skin. If the excess skin is directly leading to a medical condition, it may be covered, but this can be inconsistent depending on patient factors and individual insurance companies. You must also be aware that if approved, insurance will only pay for skin removal and not cosmetic procedures such as transposition of your umbilicus or repair of rectus diastasis.Hope this helps!
Insurance may pay for your skin removal as you have a medical condition that is exacerbated by the excess tissue. Please keep in mind that coverage, if provided, would include skin removal only and not cosmetic procedures such as a tummy tuck which include muscle tightening. Check with your insurance carrier for policy specifics.
Insurance will usually pay for excision of Hydradenitis because it is abnormal, infected skin. They will not typically pay for excess skin removal after weight loss unless it is causing a medical problem.
