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A tummy tuck is cosmetic in nature and will not be covered by insurance.Find a plastic surgeon with ELITE credentials who performs hundreds of tummy tuck procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA
In Baltimore, insurance doesn't cover a tummy tuck. However, if a panniculectomy needs to be removed or a hernia needs to be repaired at the same time then insurance will cover some of the fees.
Occasionally an insurance company will cover abdominoplasty for massive weight loss patients who have lost large amounts of weight and have so much loose skin that they get rashes under the loose skin. My best suggestion is to check with your insurance company as every company is different. It is rare for them to cover it as most insurance companies deem the procedure cosmetic.
We are lucky if insurance covers and then pays for medically necessary procedures at this point! Tummy tucks are cosmetic and not covered. Some insurers will pay for ventral hernias but at such a low rate that, by the time we are finished dealing with an in-network facility that bills through the nose for the cosmetic portion, the whole operation costs more than as a straight cosmetic case. So, I would be doubtful.
An abdominoplasty or Tummy Tuck is considered cosmetic surgery and unrelated to health issues. For that reason insurance companies do not cover it.
