Will Insurance Cover Tummy Tuck For Diastasis Recti?

Hello ChristyInsurance will not cover tummy tuck to address underlying muscle problems. I would be leery of any physician who would offer to try to bill insurance for the repair while providing a tummy tuck. As diastasis recti repair is included with tummy tuck, such billing would be perceived as fraud.  The only possible way of getting the tuck covered would be a panniculectomy, which is the removal of infected loose skin on the abdomen. However, rectus diastasis repair is not included with panniculectomy, which again brings up the problem of billing issues with insurance. Find a board certified plastic surgeon, and get the procedure done properly. Have a great day!Matthew C Camp M.D.

Unfortunately, insurance does not cover a tummy tuck. Occasionally with documentation of recurrent infection they will pay for a panniculectomy (simply removing loose skin).#tt#tummytuck

Thank you for your question.

Each insurance plan is different and the only way to know if they will cover the procedure is to call and ask.  You will also need to find a surgeon who will perform the procedure under insurance as well.

In my experience, I have not found that insurance covers this procedure.

Good Luck!

At most, your insurance MAY cover repair of your diastasis of the abdominal muscles - and according to their fee schedule. That is something that you or your plastic surgeon would need to check on. Your insurance company will definitely not cover the tummy tuck itself.

Dear Christy568,  It is unlikely that your insurance carrier will cover the costs for repairing your diastasis.  A diastasis is an accepted consequence of pregnancy and rarely causes a functional problem that requires a repair that would be covered by your insurance.  Also, a diastasis is not the usual cause for abdominal pain with exercise or pressure but it is possible you may have a hernia-most commonly an umbilical hernia-that may need repair.  Still it is very unlikely that your insurance carrier would cover anything more than the OR time for the hernia repair and not the entire cost for an abdominoplasty.  Good luck.