How to get Medicare / Medicaid to pay for tummy tuck in Rancho Cucamonga, CA?

Doctor Answers 7

Medicare will not pay for tummy tuck surgery, and it should not have to pay.

A tummy tuck procedure removes excess abdominal skin, reshapes the belly button, tightens abdominal muscles and removes excess fat. It is, without question, a cosmetic procedure without any health benefits. Medicare, Medicaid and commercial insurance will not pay for the surgery, and plastic surgeons will not bill insurance for the surgery - that would be unethical to do so.

Financing Cosmetic Surgery

As mentioned by other surgeons, tummy tucks are not covered by insurance, but there are many affordable options for financing. Most surgeons offices will sit down with you and go over their financing options. Or you can research some financing options online, through care credit or maybe even through your bank. Best of Luck!

Robert M. Kachenmeister, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 21 reviews

How to get Medicare / Medicaid to pay for tummy tuck

I'm afraid that's not going to happen no matter where you live. Tummy tucks are cosmetic surgical procedures and never covered by health insurance. If it is a panniculectomy you need, that's a different story and should be covered. 

Ronald V. DeMars, MD
Portland Plastic Surgeon
5.0 out of 5 stars 24 reviews

Tummy tuck

The tummy tuck is considered an elective cosmetic procedure and is not covered by insurance/Medicare.  Check with board certified plastic surgeons in your area who may offer financing options through credit companies.

Camille Cash, MD
Houston Plastic Surgeon
5.0 out of 5 stars 29 reviews

CMS coverage for tummy tuck?

Thank you for your question.  Because a tummy tuck is a cosmetic surgery, Medicare/Medicaid (CMS) will not cover the procedure.  In rare situations you may get them to cover a panniculectomy (lower part of abdomen) usually in combination with a cosmetic tummy tuck.  I have had tremendous difficulty getting CMS to pay for anything that may be considered cosmetic such a breast reduction, blepharoplasty, or panniculectomy.  One good thing about most insurance companies is that they will determine up front whether a procedure is covered, while CMS will not tell you and then the patient may be stuck with a large bill after the fact.  Good luck. 

Tummytuck

Hi Trisha, Thank you for your question. Medicare/ Medicaid will not pay for a tummy tuck because it is a cosmetic procedure. I have not heard of any insurance company paying for a cosmetic procedure. Insurance covers procedures that are medically necessary.

N. Bill Aydin, MD
Paramus Plastic Surgeon
5.0 out of 5 stars 47 reviews

Insurance does not cover this surgery

Insurance does not cover this operation because it is a cosmetic procedure and the insurance companies cover medically necessary surgery.

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