Is Hernia Repair Covered By Insurance?

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.

Will my insurance pay for hernia repair?

Demonstration of Pain or Discomfort Most insurance companies will fund hernia surgery if it is judged medically necessary. In order for your insurers or Medicare to cover your surgery or Medicare, you may need to give documentation of pain or discomfort. The following are some of the signs and symptoms: Bulging in the area of a hernia.

How much does it cost to repair a hernia?

In the United States, the average cost of hernia repair surgery is $7,750, with prices ranging from $3,900 to $12,500. An inpatient hernia repair costs $11,500 on average, while an outpatient operation costs $6,400 on average.

Is hernia surgery medically necessary?

Many doctors advise surgery to avoid a rare but serious condition known as strangling. When a loop of intestine or a piece of fatty tissue becomes stuck in a hernia and the blood supply to the tissue is cut off, the tissue dies.

Repairing the hernia can also help to alleviate pain and discomfort while also removing the protrusion. The hernia will not heal by itself.

If your hernia is not bothering you, you can probably avoid surgery. It’s possible that your hernia will worsen, but it’s also possible that it won’t. Hernias tend to develop bigger over time as the abdominal muscle wall weakens and more tissue bulges through.

How much does it cost to fix a belly button hernia?

An umbilical hernia can also be treated with laparoscopic or open surgery, which can cost between $4,000 and $11,000 without insurance. With insurance, the average person should expect to pay between $700 and $2,000. Some people choose to postpone surgery to address a hernia.

How long is recovery for hernia surgery?

The majority of people who undergo open hernia repair surgery can return home the same day. The recovery period is approximately three weeks.

After three weeks, you should be able to resume light activities. Strenuous exercise should be avoided for at least 6 weeks after you’ve recovered.

Don’t do something that will hurt you. You should be able to drive again in about 2 weeks, or when you no longer have groin pain. In around three weeks, you should be able to engage in sexual activity.

Infection

Following hernia surgery, swelling around the incision is usual. This does not imply that the procedure was a failure. Apply ice or a cold pack to the affected area for 10 to 20 minutes at a time to minimize swelling and pain. Repeat this process every 1 to 2 hours. Place a small towel between your skin and the ice. If you have any of the following symptoms, contact your doctor:

How serious is a belly button hernia?

An umbilical hernia is not harmful in and of itself, but it can become stuck (incarcerated). This can cut off the blood supply to the hernia’s contents, resulting in life-threatening illnesses including gangrene or peritonitis (if this happens, the hernia is said to be strangulated).

What happens if a hernia is left untreated?

Hernias result in a bulge or lump in the affected location, such as the groin (inguinal hernia), the umbilicus (umbilical hernia), or an improperly closed surgical incision (incisional hernia). If the protruding intestine is not forced back into place, the contents of the hernia may become stuck in the abdominal wall, strangulating surrounding tissue and cutting off blood supply. A strangulated hernia can develop to life-threatening illnesses like necrotizing enterocolitis (severe bowel inflammation) and sepsis if left untreated. Knowing the warning symptoms of hernias and being aware of them are critical because hernias can affect anyone at any age. If you see any suspicious signs or symptoms, you should get a diagnosis and treatment as soon as possible.

Get to know hernias

When an organ, often the small intestine, protrudes through a weak point or rupture in the abdominal wall, it is called a hernia. Individuals with hernias experience a bulge or lump in the affected location, which can be the groin (inguinal hernia), umbilicus (umbilical hernia), diaphragm (hiatal hernia), or a surgical incision that is not correctly closed (incisional hernia). The groin is the most usually affected location in young men, while the inside upper part of the thigh or groin is the most commonly affected area in women (femoral hernias).

Types of hernias

Hernias are categorised according to the affected area and the cause. Regardless of the type of hernia, surgery is the most common treatment option. The following are the most prevalent types of hernia:

  • A fatty tissue or a portion of the intestine pokes into the groin at the top of the inner thigh, causing an inguinal hernia. This is the most common type of hernia, and males are more likely than women to have it. The abdominal wall weakening that leads to an inguinal hernia often occurs after birth when the peritoneum (abdominal lining) fails to heal properly. Other inguinal hernias might form later in life as muscles weaken or degrade as a result of triggers such as age, coughing, and vigorous physical activity. When the projecting intestine lowers into the scrotum, it can cause pain and swelling around the testicles. Strangulated hernias are a serious complication of inguinal hernias, which is an emergency condition in which the blood supply to the intestines is cut off.
  • Umbilical hernia: This hernia occurs when a section of the abdomen’s lining, part of the intestine, or fluid from the abdomen passes through the abdominal wall muscle, resulting in an abnormal bulge visible or palpable at the umbilicus (belly button). Umbilical hernias can form after a baby is born and usually close on their own by the age of two.
  • Hiatal hernia occurs when a portion of the stomach or esophagus rises up into the chest cavity through a diaphragm gap (the horizontal sheet of muscle that separates the chest from the abdomen). The symptoms are very similar to those of gastroesophageal reflux disease (GERD).
  • Fatty tissue or a portion of the intestine protrudes into the groin at the top of the inner thigh, causing a femoral hernia. Femoral hernias are primarily a female problem.
  • Obturator hernia is an uncommon type of pelvic floor hernia in which the pelvic or abdominal contents protrude through the obturator foramen, which is a wide gap in the hip bone.
  • Incisional hernia: An incisional hernia develops when intestine, organ, or other tissue protrudes through a surgical incision, resulting in a bulge at the surgical wound.

Signs and symptoms of hernias

Hernias are frequently symptomless. Pain or discomfort (typically in the lower abdomen), weakness or heaviness in the abdomen, and a burning or agonizing sensation near the bulge are the most prevalent symptoms. Hernias are most noticeable while standing up, bending down, or coughing. When hernias are gently pressed back into place or when patients lie down, they usually flatten or disappear. If the protruding intestine is not forced back into place, the contents of the hernia may become stuck in the abdominal wall, strangulating surrounding tissue and cutting off blood supply. If indications and symptoms of hernias are present, get medical attention right away to receive a correct diagnosis. Abdominal mass or tumor, lymphadenitis (infection of lymph nodes), hydrocele (swelling in the scrotum caused by fluid collecting in the thin sheath surrounding a testicle), testicular torsion (the spermatic cord, which provides blood flow to the testicle, rotates and twists) and lymphogranuloma venereum, a sexually transmitted disease (STD) caused by Chlamydia tracho

In some circumstances, radiological imaging procedures such as an abdominal ultrasound, CT scan, or MRI may be required if the diagnosis is not obvious. The type and severity of hernias, as well as the patient’s overall condition, determine treatment options. If a hernia is not treated, the protruding intestine may grow in size and become strangulated, reducing blood flow to the surrounding tissue. To avoid complications such as intestinal blockage and necrotizing enterocolitis, immediate treatment is required (severe inflammation of intestines).

Can you push a hernia back in?

Important information regarding inguinal hernia When portion of the intestine pushes through a weak point in the belly (abdominal) wall, it’s called an inguinal hernia. A soft lump forms beneath the skin as a result of the hernia. With mild massage and pressure, most inguinal hernias can be moved back into the belly.

Is hernia surgery painful?

While you may have pain before and after hernia surgery, you will most likely be sleeping and will not experience any pain during the procedure. Your hernia surgery will be performed under general anesthesia in most open, laparoscopic, and robotic hernia procedures. Because of its exact delivery, general anesthesia is quite safe. During the procedure, your anesthesiologist will be present and will keep a close eye on you.

Will insurance cover abdominal wall reconstruction?

The correction of a ventral hernia is usually covered by most major insurance providers. An abdominal wall reshaping treatment, such as a vertical abdominoplasty or liposuction, may be performed with ventral hernia repair in some cases. The repair of the ventral hernia is covered by insurance in this scenario, but the abdominal wall component is not.