Skin remove and tightening.

I have had RNY surgery and have alot or excess skin in my arm, belly, breasts and thighs is this covered by my Illinios medicare and medicaid?

Doctor Answers 3

Body Lift

I am unaware of the coverage in Illinois this would have to be investigated. This is not for me to address as I live and practice in Canada. You would benefit from checking with your state medical.

Saskatchewan Plastic Surgeon
4.8 out of 5 stars 13 reviews

Insurance coverage

It is highly unlikely that anything will be covered. Sometimes the lower abdominal skin can be considered medically necessary. Medicare and medicaid are very hard to deal with because you can not call or write them to preauthorize procedures.

OHIP funded body contouring after MWL

  • Most governments seem willing to cover the cost of weight loss surgery as it improves patients' health. The concern with significant excessive skin is usually not covered except in special situations.  I have been successful at lobbying on behalf of my patients for the abdomen.  This usually covers the cost of the panniculectomy, which is not the same as a body lift or a tummy tuck, but the fee can be applied against those surgeries, saving patients thousands of dollars.
  • Dr Rodger Shortt is a plastic surgeon in Oakville.  He is the Director of the Cosmetic Surgery Training Program and an Assistant Clinical Professor at McMaster University.  He strives to provide the best possible plastic surgery results and excellent care to patients from GTA including Oakville, Toronto, Mississauga, Georgetown, Milton, Burlington and Hamilton.

Rodger Shortt, FRCSC
Toronto Plastic Surgeon
5.0 out of 5 stars 48 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.