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. A tummy tuck removes excess skin and fat but also tightens the abdominal muscles.
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The current policy manual doesnt really say anything about such things other than saying they dont cover purely cosmetic surgery.
Does blue cross blue shield cover tummy tucks. Bad faith is a legal term that means that a person or company is trying to illegally or unethically avoid a contractual obligation. In this case you may be able to get some of the costs of your tummy tuck covered by insurance. I dont think they will do an actual tummy tuck because that is considered cosmetic.
Most BCBS plans classify abdominoplasty as a cosmetic procedure. In a tummy tuck procedure excess fat and skin are surgically removed from the middle and lower abdomen and the muscles of the abdomen wall are tightened. First you have to find out if it is a covered benefit.
In many cases a tummy tuck is merely a cosmetic procedure and most insurance plans will not cover this. Typically performed for cosmetic purposes involves the removal of excess skin and fat from the pubis to the umbilicus or above and may include fascial plication of the rectus muscle diastasis and neoumbilicoplasty. A tummy tuck is less expensive but is not covered by insurance.
However if you are experiencing rashes or skin infections it then becomes a medical need to have the surgery. Visit your primary care physician. I have heard they will sometimes cover a lower body lift if there are health problems rash fungus etc caused by excess skin.
That might be an option for you as well. I had back surgery at 15 due to having two herniated discs on my sciatic nerves located near my tailbone. Abdominoplasty including mini abdominoplasty or modified abdominoplasty for all indications with or without repair of abdominal wall laxity or diastasis recti is considered cosmetic and non- covered.
Has anyone with the Blue Cross Blue Shield Federal Employee Program been able to get them to pay for penniculectomy or Abdominoplasty after the plan paid for your lap band surgery. Meanwhile they could pay benefits for shared resources only when combined with a medically necessary treatment such as hernia repair or hysterectomy. A separation between the left and right side of the rectus abdominis muscle which.
This has caused me to not being able to exercise without being in a. Typically insurance companies only cover the panniculectomy removal of the skin only but a few will cover the abdominoplasty removal of skin and muscle repair. Divining Blue Cross Blue Shield BCBS tummy tuck coverage follows a familiar pattern with an extra twist that makes little difference in the end.
How can I get my insurance to pay for a tummy tuck. Tummy Tuck AHealthyMe Blue Cross Blue Shield of Massachusetts. Would Blue Cross Blue Shield cover my tummy tuck while getting a breast reduction.
It really dependes on your insurance company. That might be an option for you as well. In many cases a tummy tuck is merely a cosmetic procedure and most insurance plans will not cover this.
Insurance does occasionally pay for a procedure called a panniculectomy. A panniculectomy removes only the excess skin and fat. The cost can range from 8000 to 15000 plus anesthesia and other extras.
Insurance generally does not cover cosmetic surgery so you will need to pay for your tummy tuck out of pocket. He wears a stomach binder for support and it really does help him. Blue Cross of California also known as Anthem Blue Cross and WellPoint has been accused of denying tummy tuck insurance coverage in bad faith.
Does Blue Cross Blue Shield Federal cover tummy tucks. Has anyone ever been approved for Abdominoplasty by Blue Cross Blue Shield. An Independent Licensee of the Blue Cross and Blue Shield Association Abdominoplasty Panniculectomy and Lipectomy When Abdominoplasty Panniculectomy and Lipectomy is covered A panniculectomy may be considered medically necessary when all of the following criteria are met.
If so what did they look for in order to approve it. A panniculectomy is more expensive than a tummy tuck but its often covered by medical insurance. Have a routine physical and talk to your doctor.
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