Would a panniculectomy be covered if I only have Medicare A and B?

Question

I'm interested in having a panniculectomy. I only have Medicare A and B. Would this procedure be covered? I'm 46. I had gastric bypass surgery in 2004. My highest weight was 298 lbs on my surgery date. I'm currently 183 lbs. I have Medicare parts A and B.

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding whether your panniculectomy be covered by Medicare. It is possible that your panniculectomy might be covered by Medicare. It depends on your physical examination and associated symptoms. Symptoms that often allow for insurance approval of a panniculectomy include skin rashes, inability to keep the area clean, and how the pannus interferes with your activities of daily living.  It is imperative that you consult with a board-certified plastic surgeon who is experienced with applying for insurance coverage for a panniculectomy.

Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, President of the American Society of Bariatric Plastic Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

Daniel Barrett, MD · Answer

Dear leanneortiz,
it is hard to tell for sure without an examination. Generally speaking, there is a chance that insurance will cover the costs of panniculectomy. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Would a panniculectomy be covered if I only have Medicare A and B?

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