“Can a tummy tuck be covered by insurance?” is one of the first concerns many of our patients ask. Yes and no are the answers to this question. A belly tuck is frequently just a cosmetic treatment, and most insurance policies do not cover it. However, if you are suffering from rashes or skin infections, the operation becomes a medical necessity. In this instance, you might be able to acquire insurance to cover some of the costs of your belly tuck.
You might wonder why only portion of the costs are covered. There are two steps to a tummy tuck. To achieve a smooth contour, the first procedure is strengthening the underlying abdominal muscles. The second phase is eliminating the extra skin and tightening the remaining skin over your midsection. When a procedure is medically necessary, insurance will pay the second portion of the surgery, as eliminating excess skin is vital to avoid rashes and infections.
Does insurance cover tummy tuck surgery?
- After decreasing weight, panniculectomies and tummy tucks are done to remove extra skin around the lower stomach.
- A panniculectomy is considered a medical need after a large amount of weight loss, but a stomach tuck is a cosmetic treatment.
Safety
- Pain and numbness are common side effects of both surgeries. Scarring is also a possibility, though it will fade over several months.
- Infection, severe pain and numbness, and bleeding are all rare consequences.
Convenience
- Both treatments are invasive surgeries that necessitate extensive planning and post-operative care.
- Finding a board-certified surgeon with substantial experience in each treatment is critical.
Cost
- A panniculectomy is more expensive than a stomach tuck, although medical insurance generally covers treatment. The price tag can range from $8,000 to $15,000, without including anesthesia and other fees.
- The cost of a belly tuck is less, but it is not covered by insurance. The average cost of this elective treatment is $6,200.
Efficacy
- Tummy tucks and panniculectomies have equal success rates. The objective is to decrease weight prior to surgery, as weight maintenance is critical to the success of your treatment.
How is a tummy tuck medically necessary?
Abdominoplasty, without a doubt, provides numerous cosmetic benefits. In reality, a belly tuck can provide medical benefits, especially when it becomes a required corrective surgical operation for individuals suffering from the following conditions:
- To fix a ventral hernia: A ventral hernia occurs when your intestine or abdominal tissue protrudes through your abdominal wall, forming a pouch or sack. This hernia can form for a variety of reasons, including abdominal weakness caused by rapid weight loss, an appendectomy, or a cesarean section. A belly tuck can repair a ventral hernia by addressing weaker abdominal muscles and relieving pressure on your skin, much way it can flatten your stomach.
- To relieve stress urinary incontinence: Stress urinary incontinence (SUI) is a bladder control problem that occurs when your bladder and urethra are under too much pressure. SUI is defined as uncontrollable leakage caused by sudden and powerful activities including sneezing, coughing, laughing, or exercising. Although the condition is usually treated without surgery, research have indicated that a belly tuck may benefit SUI sufferers. The issue is most frequent in women, particularly after a normal birth, although it can also affect men.
- Abdominoplasty can also be used to alleviate back pain, which is a prevalent complaint. Women may experience back pain as a result of weakened stomach muscles after giving birth or losing a considerable amount of weight. A tummy tuck tightens weaker muscles by flattening the abdomen and removing excess stomach fat, resulting in much-needed abdominal support that can ease back pain.
- To enhance posture: Better posture is a result of stronger abdominal muscles and less back pain. Due to the tightened muscles that provide additional support to your spine after a stomach tuck treatment, you may notice an improvement in your posture.
How do you qualify for a Panniculectomy?
What kind of people are ideal candidates for a panniculectomy?
- You experience rashes or infections underneath the hanging fold of skin that are reoccurring or persistent.
Will insurance pay for a tummy tuck if you have Diastasis Recti?
Surgery is an option, but it is usually not covered by insurance because it is considered cosmetic; the most common surgical operation used to address DR is a “tummy tuck,” which is intended to make the belly leaner and firmer.
Will insurance cover a tummy tuck if I have a hernia?
The cost of any medical procedure is usually at the top of the list of considerations. Is this anything that insurance will cover? The good news is that an Umbilical Hernia Repair is frequently considered a medically required surgery by insurance. Because it is considered an aesthetic or cosmetic operation, it must be paid for out of pocket if done in conjunction with a Tummy Tuck.
While a Tummy Tuck tries to remove extra skin and reattach the abdominal muscles to the abdominal wall, a hernia repair frequently involves the first part of a Tummy Tuck surgery, where the muscles are brought together.
You may need to find both a general and a plastic surgeon to conduct both treatments at the same time.
It’s also crucial that you tell your insurance provider exactly what you’re doing so that you know what they’ll cover and what they won’t.
Your surgeon may or may not advise you to have both surgeries done at the same time. There is a higher chance of the umbilical stalk losing blood supply, and the hernia may not be in the optimum location for an abdominoplasty.
As with any medical operation, it’s critical to understand the expenses and what your insurance will and won’t cover.
Dr. Hovsepian will do everything he can to assist you in this process. He will also go over any potential dangers and side effects of the treatment with you to ensure that you are confident in your decision to get plastic surgery.
To speak with Dr. Hovsepian personally, call our office now and book a consultation.
Does Sono Bello do tummy tucks?
At Sono Bello, we offer a one-of-a-kind approach that achieves stomach tuck-like results while posing less risks by eliminating unsightly fat and sagging skin. Compared to a typical stomach tuck, our minimally invasive stay awake technique provides for a speedier recovery.
Does Blue Cross Blue Shield of Alabama cover a Panniculectomy?
When all of the following conditions are met, abdominoplasty, panniculectomy, and lipectomy of the abdomen meet Blue Cross and Blue Shield of Alabama’s medical criteria for coverage: The folds of the panniculus hang below the pubis; AND Symptomatology such as prolonged itching is documented in clinical records.
Is a Panniculectomy covered by medical?
Unless the following medical criteria are met, panniculectomy is not deemed medically essential as an adjuvant to other medically necessary surgeries such as, but not limited to, hysterectomy and/or incisional or ventral hernia repair. It must also indicate a separate procedure that needs to be documented.
Can you heal diastasis recti years later?
OK! Just a moment. In three weeks, I’ve lost two inches on my stomach? That appears to be too wonderful to be true. I decided to look at the facts of mummy tummies and Keller’s assertion.
The medical term for the jelly belly is diastasis recti, which refers to a separation of the abdominal muscles.
It’s also pretty common. According to a Norwegian research published last year, nearly a third of new mothers have diastasis recti a year after giving birth.
Dr. Geeta Sharma, an OB-GYN at Weill Cornell Medical Center-New York Presbyterian Hospital, adds, “This is such a widespread issue.”
It’s not simply a cosmetic issue, either. Diastasis recti can also cause lower back pain in new mothers.
“Because the core is weaker, people may experience back pain,” Sharma explains.