Will Anthem Blue Cross Blue Shield cover a tummy tuck if I have diastasis recti from having children?

Tummy tuck is a Cosmetic Procedure that is not covered by insurance. Insurance questions are best addressed with your insurance company.

Sorry, no. Insurance will not cover an abdominoplasty, even if repair of diastasis recti is involved. Sometimes, part of an abdominoplasty - called a panniculectomy - can be covered if the patient has so much skin that it is hanging on his/her thighs and there are associated rashes. Also, some patients that need an abdominoplasty also have an umbilical hernia - this would be covered by insurance.

It is typically not possible to obtain insurance coverage for a tummy tuck, even if you have diastasis recti. A tummy tuck is considered a cosmetic procedure.

Thank you for your question. Diastesis recti is a normal occurrence with pregnancy. Some women end up with more looseness than others. Diastesis recti IS NOT a hernia and it is not covered by insurance. It does not cause a functional problem, so fixing the diastesis and a tummy tuck are considered a cosmetic procedure.

If costs are an issue, almost all plastic surgeons' offices have one or more financing options. Good luck.

Dear brifaulk1971,
tummy tuck is a cosmetic procedure which is not covered by insurance. 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

Thank you for sharing your question. BCBS will not cover a tummy tuck procedure for a diastasis recti. You may get that repair covered by a general surgeon but it is not a tummy tuck. Hope this helps.

Insurance will not cover a tummy tuck as it is considered cosmetic. Some insurance companies may cover a panniculectomy.

Thank you for your question. In most cases, Diastasis of the rectus muscles is not covered by insurance. If there is a ventral hernia, this will be covered. Each insurance company is different. I would suggest a consultation with a plastic surgeon and a letter to your insurance company to see if they would cover this problem.

A tummy tuck is considered an elective cosmetic procedure. Therefore it is not covered by insurance even if diastasis recti is present. If you are interested in learning more about a tummy tuck I encourage you to meet with a board certified plastic surgeon near you.

No, insurance will not cover a tummy tuck for post pregnancy changes. It was not medically necessary for you to have children (their view). Insurance may cover a tummy tuck if you have lost over 100 pounds and do have some medical issues, like chronic rashes, from excess skin.