How To Get A Tummy Tuck Covered By Insurance?

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.

What is the difference between tummy tuck and Panniculectomy?

The most significant distinction is the surgical procedure’s purpose. A stomach tuck tightens the abdominal muscles while also removing extra fat, skin, and tissue, whereas a panniculectomy eliminates a pannus.

Does insurance pay for abdominoplasty?

“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 some 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 for back pain?

Abdominoplasty, or tummy tuck surgery, is a procedure that removes extra fat and skin from the stomach. Dr. Paul Zwiebel, a Denver plastic surgeon, may tighten abdominal muscles, pull in the waist line, and tone the entire abdominal area with a stomach tuck. Abdominoplasty may provide certain health benefits, including as fat reduction, core strength and balance restoration, and increased mobility – all of which can improve exercise capacity. Tummy tuck surgery may also be beneficial in the treatment of chronic back discomfort caused by obesity. Abdominoplasty, despite all of these advantages, is not covered by insurance.

At the Zwiebel Center for Plastic Surgery, we believe that money should not be a barrier to individuals seeking procedures that can improve their physical and emotional well-being. That’s why we provide a variety of cosmetic surgery financing solutions to fit almost any budget and make tummy tuck surgery a reality.

If you’re thinking about having an abdominoplasty but are concerned about the expense, call our Highlands Ranch office at 303-470-3400 to schedule a consultation with Dr. Zwiebel and learn more about your options. Dr. Zwiebel is a compassionate and board-certified plastic surgeon who seeks to fulfill the needs of each patient he sees. He would appreciate the opportunity to meet with you to discuss your abdominoplasty financing choices as well as the many benefits that stomach tuck surgery has to offer.

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 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.

What is a hanging stomach called?

Abdominal panniculus – the scientific name for a stomach overhang that hangs down in front – like an apron of fat – is a common cause of uneasiness and worry about baring your stomach on the beach or at the pool. This fatty tissue expansion is not only inconvenient and ugly, but it also poses a health concern.

This obstinate layer of fat on the stomach does not emerge on everyone who is overweight, but in severe situations, it might appear to be suspended or dangle and reach the knees or lower.

A stomach overhang can develop as a result of rapid weight loss, obesity, or pregnancy. Excess skin and fatty tissue can sometimes be misinterpreted for a hernia or tumor.

What is better than a tummy tuck?

A liposuction surgery is significantly less invasive than a stomach tuck. It may be used to remove excess fat from practically any portion of the body, including the stomach, back, arms, legs, and even under the chin.

A saline, water, and anesthetic solution is injected into the fat cells to be removed during the treatment. The fat is then sucked out using a cannula similar to an IV needle. As a result, the figure is more contoured.

Liposuction, unlike a belly tuck, does not remove extra skin. As a result, it’s best for removing tiny fat deposits. Furthermore, liposuction is not a weight-loss technique, and you will not lose a significant amount of weight with this procedure.

Although the fat cells are permanently removed, lipo does not prevent weight growth in the future. Diet and exercise will be required to maintain your new physique.

Is a Panniculectomy covered by insurance?

Excess skin around the stomach is common in people who have lost a lot of weight, and it can cause skin rashes, irrational behavior, discomfort, and other issues. This is referred to as the pannus.

Many patients who have lost weight through lap band surgery, gastric bypass, or natural means consult with plastic surgeons to discuss their alternatives for resolving the issue.

A panniculectomy is a surgical treatment that removes excess skin from the pannus, which is located around the midsection. The pannus usually stretches from the abdomen to the back, causing skin irritation and other issues.

Making an incision similar to a stomach tuck and extending it around to the rear of the body as far as the excess skin occurs, the pannus is removed. This technique is done as an outpatient procedure with general anesthesia administered by a board-certified anesthesiologist. It’s frequently combined with other body lift treatments like a breast lift, breast reduction, or thigh lift.


Both a panniculectomy and a tummy tuck are treatments that remove extra skin from the mid-section in order to obtain a flatter abdomen. A belly tuck, on the other hand, targets muscular laxity (diastasis), whereas a panniculectomy tackles solely the extra skin and tissue of the pannus. Your plastic surgeon will discuss which operation is ideal for you based on your objectives. Patients who have lost a lot of weight may need a panniculectomy first, then a stomach tuck 6 months to a year later to tighten the muscles.

Panniculectomy covered by insurance

Panniculectomy surgery is often reimbursed by insurance. Insurance companies frequently require documentation from medical professionals relating to weight reduction and/or weight loss surgery, skin irritability, or other disorders that affect daily living in order to qualify. In order to authorize the operation, most insurance companies also want images prior to the procedure.

PPO insurance is accepted by the board certified plastic surgeons at California Surgical Institute. Please complete the form below to receive a free insurance verification to see if you are eligible for panniculectomy with insurance and what type of copay you will have.

How much does it cost for a tummy tuck?

What is the price of a belly tuck? The overall cost of an abdominoplasty is estimated to be between $15,000 and $20,000 (including hospital, anesthesiologist, and surgeon’s expenses). Body lifting can cost anywhere between $26,000 and $29,500.