In what cases will insurance cover vaginoplasty?
Doctor Answers 5
Labia repair coverage
Dr Robert D Moore, FACOG, FPMRS, FACS
Urogynecology / Cosmetic Vaginal Surgery
Atlanta - Beverly Hills - DUBAI
When does insurance cover a vaginoplasty?
Whether you can have insurance cover your surgery depends upon the anatomical changes that will be evident on your examination. The complaints a patient has are called "symptoms." How the symptoms correlate the signs found on physical examination determine what operation is required. If your problem stems from a vaginal herniation - such as a rectocele or cystocele or enterocele - then this is covered by insurance.
I would see a specialist in Female Pelvic Medicine and Reconstructive Surgery rather than an Ob/GYN if this is possible. Many OB/GYN are excellent surgeons but this can be hit or miss. Research your doctor and don't be afraid to get second opinions.
Vaginoplasty for sex enhancement isn't covered by insurance
Viagra for men to enhance sex - covered by insurance. Vaginoplasty for women to enhance sex - not covered. Go figure. It's unfair, but it's reality. Your condition can certainly be improved by vaginoplasty. Most surgeons offer payment plans and finance options.
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All you ever wanted to know about Perineoplasty and Vaginoplasty, who is best to do the operation, and the deal with insurance..
Insurance will pay for these operations (less any co-pay your insurer makes you pay, which is often significant...) HOWEVER... none of these procedures (some of which are automatically included in an elective sexual, plastic repair) are the aesthetic repair of the opening, the aesthetic removal of all that piled-up tissue at the opening, the reconstructive, sexually-enhancing elevation of the perineum, bringing the muscles together and narrowing the vagina to give you more friction and "push" your lover's penis up against the G-spot and clitoris type surgery that you are talking about. AND... most gynecologists and urogynecologists ARE NOT TRAINED to do the type of work that you wish & need.
This type of work unfortunately (although both you & I know it is of utmost importance and help) is considered "cosmetic" and "elective" (YES-- good sex is considered elective by your insurance company.) If you want the "real thing" aesthetically and sexual- functionally, you will need to shell out the $$ necessary to have one of only a small number of gynecologists and urogynecologists who are SPECIFICALLY TRAINED to do these aesthetic and sexually enhancing procedures. The procedures that will accomplish what you desire are collectively called ""Perineoplasty and Vaginoplasty" and automatically also include a "site-specific repair," aka "posterior repair..."
Please don't hesitate to navigate the website linked below-- lots of info under "Genital Cosmetic Procedures," the FAQ's" and the "Blogs" to answer your queries about vaginal tightening. Also check out the research papers that relate to these issues.
Michael P Goodman, MD
Davis, CA USA