I have diastasis recti along with a hernia. Will insurance companies cover the hernia surgery?

Question

Can the Diastatsis Rect be repaired at the same time?

Rady Rahban, MD, FACS · Answer

Thank you for your question.  Yes, generally most policies do consider hernias a medically necessary procedure so you should get coverage or reimbursement. If you have diastasis recti as well, I highly recommend you treat both conditions together to prevent hernia reoccurrence and the use of mesh. The common denominator among both conditions is that it addresses the root of the issue which is weakened and stretched out connective tissue setting an environment for diastasis and hernias. I specialize in meshless diastasis and hernia repair and perform it in conjunction with an abdominoplasty or tummy tuck.  I recommend seeking a skilled Board Certified Plastic and Reconstructive surgeon who specializes in diastasis recti and hernia repair. To get a more affirmative treatment plan, I would schedule an in person consultation to assess and evaluate your personal situation and come up with the most optimal course of action.

Aaron Capuano, MD, FACS · Answer

In most cases your insurance company will cover the hernia portion of your surgery.  The hernia portion of your surgery can be performed at the same time your diastasis recti surgery and tummy tuck are performed. You should check your specific insurance benefits to find out whether you have out of network benefits, if your plastic surgeon or general surgeon are out of network.  Clinical data is required by your insurance company as proof that a hernia is present and in some cases a CT scan as well.

Michael F. Bohley, MD · Answer

Many Plastic Surgeons will repair a small hernia at the same time as an abdominoplasty with rectus diastasis repair. Small umbilical hernias are very common, particularly after pregnancy. Sometimes, insurance plans will cover the portion of the procedure deemed appropriate for the hernia repair. I would check with your carrier before your procedures.

I have diastasis recti along with a hernia. Will insurance companies cover the hernia surgery?

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I have diastasis recti along with a hernia. Will insurance companies cover the hernia surgery?

Answers (3)

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Recommended reading

Everything you need to know about Diastasis Recti Repair

Our mission is to create a world where every investment in modern beauty is Worth It.