Hello, thank you for your question regarding the cost of reconstructive plastic surgery after massive weight loss. Inregards to insurance coverage, this is highly variable from state to state and even with the same insurance policy. There are different teirs even with in the same insurance company. Therefore, it has become impossible to tell what is covered by insurance and what is not covered by insurance. Basically, the best insurance plans are more likely to cover surgical procedures. As expected, the best insurance plans are also the most expensive plans. I have had patients who had excellent insurance and mild to moderate deformity; fortunately for them, their procedure was covered by insurance. On the other hand, I’ve had patients with poor insurance and severe deformities. Unfortunately for them, the procedure was not covered Basically, I would suggest you purchase the best medical insurance plan you can afford. Please try to have your procedures covered. Also, be cautious of the plastic surgeon you choose to submit your insurance proposal. They need to be experienced with submitting to the insurance companies and be willing to at least try. In regards to the cost, costs are highly variable throughout the USA and the world. Cost varies from plastic surgeon to Plastic surgeon and city to city. It’s much like a car. There is no fixed price for a car. There are too many variables. Among other things, cost are based on your plastic surgeon‘s experience and geographic location. I would suggest you meet with at least five or six board-certified plastic surgeons. With growing technology, a lot of plastic surgeons office virtual reality consultations. Then, I go with your gut feeling. Do not go with the least expensive plastic surgeon. You might wind up spending much more paying for complications and revisions. I specialize in Plastic surgery after significant weight loss. Over the past 20 years, I’ve also been working with insurance company I hope I’ve answered your questions regarding reconstructive plastic surgery after massive weight loss. If you have any more questions regarding reconstructive plastic surgery, please contact my office. Sincerely Dr.Katzen. ( certified by the American Board of plastic surgery member of the American Society of plastic surgeons.)