I know insurance companies do not cover abdominoplasty. However, will they cover a medically necessary panniculectomy, along with facility (OR) expenses and anesthesia, leaving the patient financially responsible for just the abdominoplasty part of the procedure? Or with the abdominoplasty not covered does that negate coverage for the facility and anesthesia?
Answer: Partial insurance payment for tummy tuck. It is true that the insurance will provide coverage for lower panniculectomy after major weight loss with appropriate predetermination. If you are looking for a full tummy tuck as well, your surgeon can charge an out of pocket fee for the non-covered portion. The issue is, will insurance and the anesthesiologist have add-on charges as well. This should be discussed well in advance. It could "get by" but some facilities also have package pricing for cosmetic procedures that you can negotiate before if you are worried about a later or unexpected bill.
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Answer: Partial insurance payment for tummy tuck. It is true that the insurance will provide coverage for lower panniculectomy after major weight loss with appropriate predetermination. If you are looking for a full tummy tuck as well, your surgeon can charge an out of pocket fee for the non-covered portion. The issue is, will insurance and the anesthesiologist have add-on charges as well. This should be discussed well in advance. It could "get by" but some facilities also have package pricing for cosmetic procedures that you can negotiate before if you are worried about a later or unexpected bill.
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May 27, 2015
Answer: Partial insurance payment? Insurance payments for panniculectomy are certainly possible as long as you have adequate documentation. I try as much as possible to obtain this coverage for patient if I am able to. Unfortunately, panniculectomy does not cover extensive undermining, relocation of the umbilicus, liposuction, direct excision of fat and muscle plication all of which are often required for abdominal contouring.
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May 27, 2015
Answer: Partial insurance payment? Insurance payments for panniculectomy are certainly possible as long as you have adequate documentation. I try as much as possible to obtain this coverage for patient if I am able to. Unfortunately, panniculectomy does not cover extensive undermining, relocation of the umbilicus, liposuction, direct excision of fat and muscle plication all of which are often required for abdominal contouring.
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