I am in the beginning stages of my research into having a tummy tuck to correct my diastasis recti. I keep reading that insurance companies consider this cosmetic surgery only and will not pay any fees toward it unless you have medical documentation to prove it is medically necessary. Is this true for any of you? I haven't contacted them yet because I don't want to draw any red flag attention to my file. I want to know how this process works. I thought since my doctor said I have this and surgery is the only way to fully correct it, it would be covered. But my research is showing this is harder than I realized.
That's not true. I had the surgery on Oct 20, 09. My insurance paid for the repair part. I had to pay a plastic surgeon to remove the excess skin. When you say "tummy tuck", the insurance company automatically think "cosmetic". First, you need to find a general surgeon who will identity your issue. Your general surgeon will then file the proper authorization with your insurance company and get the procedure approved. Then you need to find a plastic surgeon. The insurance will not pay for this part...that's what is considered a tummy tuck.
You will actually have 2 surgeons: the surgery to repair your abs muscles and then the surgery to remove the excess skin.
This site complies with the HONcode standard for trustworthy health information.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.