What medical conditions, if any are considered necessary to have a Tummy Tuck panniculectomy and be covered under Insurance?

Question

I had endometriosis very bad which was the reason of me not being able to get pregnant for 10yrs. After a couple of surgeries, I was able to get pregnant. I've had two kids both by C-Section. After having the C-sections. My belly hangs down to my pubic area. I've also have had to have numerous (10) roughly surgeries for cyst on my ovaries, scar tissue, adhesions, more endometriosis. I've had a partial hysterectomy and I only have my left ovary. Do you think the apron is causing all the problems?

Christopher J. Davidson, MD, FACS · Answer

In my experience, to have insurance cover a tummy tuck, you must have lost at least 75 pounds and have rashes underneath the hang that have been treated by a doctor without success.

Frederick G. Weniger, MD, FACS, MBA · Answer

A panniculectomy refers to just amputating the excess skin, but not tightening the remaining skin or tightening the muscles (which is a tummy tuck).  Only some insurance companies will pay for the pannic part of it if you have good documentation of chronic rashes and infections/skin breakdown under the fold.

Jourdan Gottlieb, MD · Answer

None of the conditions you have listed seem to have any cause and effect relationship with the overhanging skin you describe. The one condition that occasionally gets coverage is chronic rashes under the apron that have failed medical treatment. Best wishes.

What medical conditions, if any are considered necessary to have a Tummy Tuck panniculectomy and be covered under Insurance?

Answers (3)

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What medical conditions, if any are considered necessary to have a Tummy Tuck panniculectomy and be covered under Insurance?

Answers (3)

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