My insurance will cover a panniculectomy, is it possible to have abdominoplasty done at the same time and pay the difference?

If you are a candidate, you can certainly discuss with your surgeon financial arrangements for the surgery. Best of luck.

This is actually an excellent question and deserves a response.  Your insurance company will cover panniculectomy because you're having infections and problems in the pannus.  If you choose to upgrade your result to that of an abdominoplasty and pay the difference, that should be an acceptable option for the insurance company, as well as to your surgeon.  As long as you are open and disclose this prior to the operation to them, I have seen this covered.  The problem is that there are occasionally active infections going on when panniculectomy is done, especially of a fungal nature.  This can lead to increased complications and needs to be done very carefully and with an anticipation of probable problems.  It is quite common for us to do a breast reduction as an example and have that paid for by the insurance company and at the same operation do a cosmetic procedure like an abdominoplasty.  As long as you are open and disclose all this prior to the procedure, I do not anticipate there should be a problem.  You should anticipate paying  an additional fee not only for the surgeon but also for the added anesthesia time and facility fees.