Tummy Tuck Covered by Insurance?

i have a 6mth pregnant uterus do to extreme fibroids that cause me great pain and the purge my tummy out extremely now will my insurnace cover me for a tummy tuck if i have acess skin

Doctor Answers 17

Abdominoplasty is not covered by insurance

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There is a procedure called panniculectomy which generally is covered by insurances, with great difficulty. You will have to be patient (no pun intended) to get it approved. It is NOT a cosmetic procedrue, as it simply removes skin that may be causing a rash or making it difficult for you to wear pants, etc. It is a functional procedure, but insurance companies have strict guidelines regarding itself approval, and don't be surprised that after the surgery they decide not cover it. They generally never guarantee payment until the payment is made. (Read the fine Print!). But regarding abdominoplasty specifically, it is a cosmetic procedure not covered by insurance.

Chicago Plastic Surgeon

Insurance and TT

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Unfortunately, insurance does not cover a tummy tuck. Occasionally with documentation of recurrent infection they will pay for a panniculectomy (simply removing loose skin).

Not usually

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A tummy tuck is generally not covered by insurance unless there is a special reason why the procedure would be necessary for you, and this reason would have to be therapeutic rather than just cosmetic. Please contact your insurance provider to find out if your tummy tuck would be covered.

Tummy Tuck Covered by Insurance?

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Unless there is some unusual circumstance, insurance companies generally do not cover tummy tuck surgery. In other words, insurance companies do not consider this operation medically necessary. Sometimes, however insurance companies will cover excision of lower abdominal wall skin/apron;  this operation is called a panniculectomy. Best wishes.

Insurance coverage of excess tummy skin from large Uterine Fibroids

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It is highly unlikely that your insurance company will pay for removal of extra skin from the fibroids.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

Abdominoplasty and insurance

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Insurance companies do not cover abdominoplasties. They are for cosmetic surgical reasons whether you have fibroids or not.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Abdomeninoplasty is a cosmetic procedure

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Abdominoplasty is considered a cosmetic procedure which is generally not covered by health insurance. This procedure removes excess skin and fat, lifts the pubic area, tightens the muscles, and reshapes the umbilicus (belly button).

If you have had a large weight loss and have excess skin which hangs past your pubic area (pannus), health insurance may pay for a portion of the procedure to remove it (panniculectomy). This may lessen some of the cost of the abdominoplasty, but is frequently very difficult to have approved by insurance carriers. I would recommend a consultation with a Board Certified Plastic Surgeon. I wish you the best of luck, Andrew Lyos MD, FACS.

Andrew T. Lyos, MD, FACS
Houston Plastic Surgeon
4.8 out of 5 stars 65 reviews

Tummy Tuck not covered by insurance, Panniculectomy may be covered

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A tummy tuck is a plastic surgery procedure that tightens your loose skin, muscle, and soft tissue in a beautiful, pleasing shape and appearance.  This surgery is considered cosmetic, so health insurance will not cover this procedure.

If you have a large amount of loose skin only, then the medical term for this loose skin is called a pannus.  Removal of this skin is called a panniculectomy.  This may be covered under some types of health insurance.  The problem with getting coverage for a panniculectomy is that it's not the same as a tummy tuck.  A panniculectomy is a procedure that only removes loose skin, and does not have the reshaping of the tummy that a typical tummy tuck includes. 

I wish you the best of luck!

Roy Kim, MD
San Francisco Plastic Surgeon

Are tummy tucks covered by insurance

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Tummy tucks are generally not covered by insurance.  You have to demonstrate that you have significant excess skin hanging down past your vaginal area to have any type of procedure covered by insurance- that procedure is called a panniculectomy.  You would need your surgeon to submit photos of you to the insurance company to have a panniculectomy covered.  A panniculectomy is a procedure which involves only removing the excess lower abdominal skin.  It does not tighten your abdominal muscles or perform any significant contouring that a tummy tuck can do.

Please consult with a board certified  plastic surgeon for a comprehensive review of your treatment options.

Best wishes,

Dr. Bruno

William Bruno, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 410 reviews

Tummy Tuck Covered by Insurance?

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Make it 7 out of 7 experts saying NO! But good question just to be sure. Many years ago some insurance companies covered excision of excess skin but NOT today. From MIAMI Dr. Darryl j. Blinski, 305 598 0091

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.