Will Medicaid/Medicare Cover the Removal of Excessive Stomach Skin?

I had Gastric-Bypass surgery in September of 1989. Since approximently 8 months postop, I have had a very large area of excessive skin (Flab) on my lower abdomen. I suffer from lower back pain, an irratation under the flab. It is almost always a painful red, blistery, bloody, infected, ouzing of a yellowish discharge. It is very foul smelling, to the point that I am not able to be around other people, for fear of offending them with the smell.

Doctor Answers 3

Medicaid Payment for Surgery

I would say it's quite doubtful. Removal of excess skin is mostly considered cosmetic and I'm not familiar with a surgeon who will take Medicaid for surgery.

Orlando Plastic Surgeon
4.5 out of 5 stars 60 reviews

It is uncertain whether Medicaid or Medicare will cover abdominal pannus removal.

Dealing with government medicine is difficult because they do not pre-certify a given operation. The surgeon has to perform the procedure and will find out in arrears if he has to be paid.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Will Medicaid/Medicare Cover the Removal of Excessive Stomach Skin?

Since neither will "pre-authorize" one really cannot tell whether they will provide coverage for an individual. A denial can leave you with astromonical bills from a hospital.  Your bariatric surgeon can probably advise you best about coverage in your particular area, and about surgeons who might be providers. 

All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 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.