Is there a doc who accepts Aetna Innovation Health willing to repair this hernia with muscle repair of abdomen? (photo)
Doctor Answers 5
Tummy Tuck and Hernia Repair
You or your plastic surgeon will need to contact Aetna directly and apply for predetermination and precertification for your specific case.
A hernia may be covered. A tummy tuck will not be likely be covered.
To be sure, see two or more experienced, board-certified Plastic Surgeons in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have tummy tuck or body contouring surgery.
I hope this helps.
Heartburn are reflux are not caused by incisional or ventral hernias.
I'd advise weight loss first, NOT tummy tuck surgery, and see if your reflux and heartburn are improved. You should also see a gastroenterologist, as chronic reflux can lead to Barrett's esophagus and esophageal cancer if left untreated. Yes, heartburn can lead to esophagus or stomach cancer! Repair of hiatal hernia is often surgical, and totally unrelated to tummy tuck surgery or abdominal wall diastasis, hernias, or muscle repair.
What this means is that you have medical issues (probably hiatal hernia, causing reflux and heartburn, appropriate for coverage for medications or intra-abdominal surgery needed to correct these issues), and that your desire for a tummy tuck is entirely cosmetic and has nothing to do with insurance coverage, even with a diastasis.
You cannot get your insurance to cover tummy tuck surgery. But you really knew that, didn't you?
You should consider these recommendations:
- Lose weight and see what that does for your heartburn and acid reflux
- See a gastroenterologist for upper GI endoscopy
- Proceed with any hiatal hernia surgery deemed necessary and appropriate for your symptoms or overall health. Medications can sometimes avoid surgery.
- When all is well and your heartburn and reflux are gone (as good as possible), then consider elective cosmetic tummy tuck for improved appearance, and understand that increased tightness of your abdomen may cause return of your symptoms (or worsening).
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Insurance does not pay for diastasis repair
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.