I need an umbilical hernia and abdominal muscle repair, and I would like to get a tummy tuck at the same time. I am pretty sure that my health insurance will cover the hernia repair. Is it possible for me to just pay the additional costs out of pocket for the tummy tuck portion of the surgery? Is this feasable? Would most surgeons agree to this? Thanks in advance for your insight!
Tummy Tuck with Muscle and Hernia Repair Covered by Insurance?
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Doctor Answers 38
Insurance coverage becoming more difficult to obtain for supposedly "covered" features
Health insurance companies are in business to take your premiums and hold onto your money as long as possible. Of course, many factors come into play whether your particular company will cover the medical problems that you mentioned. Much of it has to do with YOUR personal policy with the insurance company. It is becoming increasingly more difficult to have "covered" features in your policy covered!
To avoid problems, begin with a consultation with a board certified plastic surgeon who is experienced in body contouring, particularly tummy tucks. After a thorough evaluation and physical examination by the plastic surgeon documenting your medical issues, have his/her office contact the insurance company and obtain in writing what the insurance company's position is. Do not be surprised if additional evaluation/treatment(s) by other specialties are required. Hopefully, your insurance company will prorate the medical treatments related to the hernia repairs from the cosmetic portion.
My very best wishes for a happy outcome.
Your payment compromise should work fine
Hernia repair with tummy tuck
Thank you for your question. Repair of a small, uncomplicated umbilical hernia is very commonly performed by the plastic surgeon as a part of the tummy tuck operation. Insurance will usually cover the hernia repair; the tummy tuck (with associated OR and anesthesia time) is paid for out of pocket. In the event that insurance approval for the hernia cannot be obtained, many plastic surgeons will perform this either free of charge or at a small additional fee.
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A tummy tuck is considered cosmetic and elective
Possible, but ask provider
Yes, tummy tuck can be done at same time as hernia repair
It is quite common to have a tummy tuck at the same time as a hernia repair.
You will need to find a general surgeon and plastic surgeon who are willing to work together.
The insurance would cover the hernia repair and you would pay an extra fee for the tummy tuck
Ask your doctor who plans to do the hernia to rtefer you to a board certified plastic surgeon who can do the hernia repair.
Hernia repair at the tie of Tummy Tuck covered
The combination of umbilical hernia repair and tummy tuck surgery is very common. Most plastic surgeons will repair a simple (uncomplicated) umbilical hernia at the same time as a tummy tuck. Most insurances do cover the hernia repair, an estimated and facility fee for tha procedure. You will have to pay out f pocket for the tummy tuck portion. You will wan to check with your insurance provider and a board certified plastic surgeon. Best of luck.
Tummy tuck combined with hernia repair
This is a frequent question, thanks for asking. You are correct in your assumption that your insurance company will likely pay for your hernia repair but not your tummy tuck. It is not uncommon to perform these two procedures at the same time. You would be responsible to pay the out of pocket costs for the tummy tuck (including the facility fee and anesthesia time for the tummy tuck portion of the procedure). By combining the two procedures you will only have to go through one recovery period. Good luck!