Is Abdominoplasty considered reconstructive surgery? And does Medicaid cover it? (photos)

Unfortunately health insurance, including Medicaid, does not cover cosmetic procedures and abdominoplasty, also called a tummy tuck, is considered a cosmetic procedure. The definition of cosmetic surgery varies, though from an insurance perspective, cosmetic surgery refers to any surgery with the purpose to modify or improve the appearance of a physical feature with no specific medical reason to do so. A medical need could include a condition that causes significant physical dysfunction or psychological distress to a patient, but many health insurance companies have defined criteria to determine if the surgery meets the requirements for coverage.

Thank you for your question. An abdominoplasty is a cosmetic procedure and would not be covered by health insurance. The umbilical hernia repair would be covered by insurance, and that procedure would be performed by a general surgeon.

An abdominoplasty is not covered under insurance. It is considered a cosmetic procedure. The hernia would be covered if you went to get that repaied.