I was examined by a general surgeon for repair of a very large broad-based umbilical hernia. During the examination, the surgeon inquired whether I had back pain (I have rather severe back arthritis). He stated that the lax abdominal muscles, which allowed the hernia to occur, most likely contributed to the back situation and recommended an abdominoplasty, both for a more complete hernia repair and to stabilize (not eliminate) my back issues.
The plastic surgeon to which I was referred agrees with the assessment, as does my primary care physician. Is this a common scenario and, if so, why is the abdominoplasty portion of the recommended procedure not covered by insurance?