Will Insurance Cover Muscle Repair/Tummy Tuck if Pain and Health Issues Involved?

Doctor Answers 2

Insurance coverage of procedures

The only way I can see an abdominoplasty being covered by health insurance is if the the skin that would otherwise be discarded is used to reconstruct the perineal/genital area.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

Insurance doesn't cover tummy tucks

You don't specify what "health issues" you mean but I can't imagine what they would be that would make an insurance company cover a tummy tuck as "medically necessary."  Fixing a hernia and removing a pannus can be covered sometimes.  But a rectus diastasis is not a hernia and loose skin in the lower abdomen is not a pannus. 

Please visit a plastic surgeon, describe the problem and see what they say.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.