How to get diastasis recti covered by insurance? (Photos)

Question

I am 23, and 120 pounds. I have been through one pregnancy 5 years ago. I get severely bloated when I eat, it’s hard for me to move and breathe after I eat. Sometimes it’s so difficult for me to breathe after I eat that I feel like I have to force myself to throw up to be able to breathe. The pictures I am providing are on the same day, after eating half of a sandwich, and 2 bottles of water. Is there any way to get this covered by insurance? It’s not for cosmetic reasons.

Daniel Careaga, MD · Answer

Insurance companies consider a diastasis recti to be a cosmetic deformity. As such, I am not aware of a single insurance company that will cover repair.

Rady Rahban, MD, FACS · Answer

Hello,

You bring up a great question. Unfortunately, insurance companies don't recognize DR as more than a vanity issue hence, don't typically cover it. However, for many it truly is more than a vanity issue and has contributed to pain and discomfort. Correcting the DR has alleviated most of these symptoms for a majority of my patients. It's a shame it's not covered.

Kenneth Hughes, MD · Answer

Diastasis recti repair is typically part of a TT which is considered cosmetic by insurance companies. Hernia repair with a TT is typically is covered by medical insurance (though the reimbursement is pathetic). You will be responsible for the deductible.

Daniel Barrett, MD · Answer

Dear Dynamic451471
generally speaking, diastasis recti repair is considered an elective procedure and insurance won't cover it. 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

Ronald J. Edelson, MD · Answer

Very difficult to get covered. The problem is that plastic surgeons in the psst abused rectus diastasis by calling it a hernia, which it is not. Insurance companies are now wise to this ploy and recognizing it right away. You may get lucky and if you want to try you can. I doubt you will be successful.

How to get diastasis recti covered by insurance? (Photos)

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Answer: Insurance coverage

Answer: Insurance coverage

Answer: Rectus diastasis

Answer: Rectus diastasis

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How to get diastasis recti covered by insurance? (Photos)

Answers (8)

Answer: Insurance coverage

Answer: Insurance coverage

Answer: Rectus diastasis

Answer: Rectus diastasis

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Recommended reading

Everything you need to know about Diastasis Recti Repair

Our mission is to create a world where every investment in modern beauty is Worth It.