Will My Insurance Cover A Tummy Tuck After Weight Loss Surgery
Tummy tucks also known as Abdominoplasty remove loose and excess skin after weight loss or giving birth. Abdominoplasty procedures are normally elective or cosmetic procedures which are not covered by insurance.
Post Weight Loss Surgery Chicago Il North Shore Aesthetics
Tummy Tucks after Massive Weight Loss Patients who have tummy tucks following massive weight loss tend to have a greater risk of the problems above specifically with wound healing possibility of an open wound stretching of the skin after surgery risk of infection if lengthy operating room time and possibly more complications related to anesthesia in patients with a high BMI body mass index.
Will my insurance cover a tummy tuck after weight loss surgery. BMI changes must meet criteria and documentation and evidence apply. Does insurance cover tummy tuck after weight loss surgery. Abdominoplasty or a tummy tuck is cosmetic or reconstructive surgery.
In addition to that it gives a flat abdominal section and a much firmer shape. While most of the Blue Cross insurance policies do cover weight loss surgery not all of them do. If you had excess skin for longer than a year they would pay for the removal but Im PRETTY sure they wouldnt cover a Tummy Tuck.
5 feet 9 inches. Insurance companies typically refuse to cover a full abdominoplasty because its considered a purely cosmetic procedure even whenas in your casethe procedure follows major weight loss. Those that do cover the procedure have similar requirements to those of Blue Cross Blue Shield of Michigan.
My insurance is covering a panniculectomy due to infections from weight loss after c section 3 years ago. The surgeon I spoke to does not do that and if I got a. Posted April 24 2009.
What this covers is technically a wedge of the overhanging skin not a full tummy tuck where you undermine the skin up to the rib cage and corset the muscles back together. Insurance pay for tummy tucks. Panniculectomies and tummy tucks abdominoplasty are surgical procedures that target the belly.
At the moment Medicare does NOT cover post-pregnancy abdominoplasty procedures. Weight loss surgery is considered an effective treatment of morbid obesity. In most cases abdominoplasty will.
Surgery to correct pectus excavatum sunken breastbone liposuction when medically necessary. Panniculectomies and tummy tucks are used to get rid of excess skin around the lower stomach after losing weight. I know there are lots of patients getting this covered by insurance.
Though heavy excess skin left behind after weight loss can be considered a medical condition due to discomfort and increased risk for skin conditions most insurance providers do not cover body lift surgery. But they wont. Tummy tuck after weight loss insurance Does Insurance Ever Cover a Tummy Tuck.
How do I prepare for a. It is important that a general surgeon be present during the functional. It is how the surgeon submits it to insurance.
Learn what to expect from each procedure including whos a good candidate expected results. This is true even when the procedure warrants medical intervention. A tummy tuck is a common cosmetic procedure to remove excess skin around the midsection.
It is now more difficult to qualify for rebates which can only be requested after Surgery has occurred. It is used to tighten muscles that have become loose or split following pregnancy or to remove fat and extra loose skin from the abdomen after massive weight loss. Weight loss What this covers is technically a wedge of the overhanging skin not a full tummy tuck where you undermine the skin up to the rib cage and corset the muscles back together.
Insurance does occasionally pay for a procedure called a panniculectomy. Some patients who have lost a LOT of weight and have redundant SKIN FOLDS MAY be eligible for a rebate. Im in Insurance and usually thats purely cosmetic.
The procedure uses general anesthesia and it takes about 3-5 hours. That being said some insurance carriers do offer partial coverage of body lift expenses if you meet certain criteria. It is a popular option among women who have had children and both men and women who have lost a large amount of weight either through diet and exercise or weight loss surgery.
My other caveat with insurance coverage is for those with a large overhanging pannus sometimes the insurance company will cover a panniculectomy not a tummy tuck. MBS item codes still apply for Tummy Tuck surgery Lipectomy for significant weight loss not related to pregnancy. After losing massive amounts of weight getting rid of all the extra skin that is the final step in many of my patients transformation into their new self.
Restore weakened or separated muscles. Eppley I am intersted in finding a physician that can do A Fleur De Lis tummy tuck with hernia repair after weight loss for reconstructive repair that will accept and submit to insurance. If you have a lot of loose lower abdominal skin causing rashes unresponsive to medical care etc then they may pay for part or all of it.
Insurance pay for tummy tucks. Additionally there is no guarantee of approval for a rebate. If your tummy tuck is purely for cosmetic reasons your insurance company will most likely not pay for it.
Will Medicare Cover Tummy Tuck Surgery after Pregnancy. Medicare does provide coverage for medically necessary plastic surgery. There is a common perception that plastic surgery after massive weight loss is covered by most insurance plans.
While a panniculectomy is considered a medical necessity after a significant amount of weight loss a tummy tuck is an elective procedure for cosmetic reasons. In some cases a panniculectomy sometimes called a mini tummy tuck is covered but not a full abdominoplasty. Patients who have a concurrent epigastric umbilical ventral or incisional hernia may have this portion of the operation covered by their insurance.
Ive heard of surgeons billing the insurance company for the panni and then bill the patient for the difference. For medically necessary procedures insurance will cover the second phase of the procedure as removing the excess skin is required to eliminate the risk of rashes and infections. Or a tummy tuck after weight loss surgery if it is deemed medically necessary due to excess skin that causes rashes or infections.
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