Cosmetic Surgery Tips

How to Get a Tummy Tuck Paid for By Insurance

Tummy tucks are typically considered cosmetic and elective surgeries because they are rarely seen as medically necessary procedures that will either save your life or improve your quality of life. In the vast majority of cases, cosmetic and elective procedures are excluded from health insurance policies.

Now, you may be wondering about cosmetic insurance plans, which sound like they might end up paying out for a tummy tuck. However, cosmetic insurance policies are designed to pay for medical expenses that arise after a cosmetic surgery.

Tummy Tuck With Medicaid

Tummy tuck with Medicaid is a surgical procedure that uses liposuction to remove abdominal fat and skin. The surgeon then removes excess skin and tightens the muscles of the abdomen, which returns the skin to a more youthful shape. Tummy tucks are most commonly performed on women who have had children or people who have lost a lot of weight quickly.

The surgery can be performed under general anesthesia or with spinal or epidural anesthesia. It usually takes about two hours and is done under local or regional anesthesia in an outpatient setting.

The cost of tummy tuck procedures varies depending on the area where you live, your insurance coverage, and other factors. The average tummy tuck costs around $8,000, though some experts believe it should be closer to $5,000–$6,000 based on current prices for similar procedures. You may also need additional procedures like breast lifts or implants as part of your tummy tuck surgery if you’re having it as part of a cosmetic overhaul rather than for medical reasons (though these costs will be higher).

One of the most sought-after plastic surgery procedures, a tummy tuck, can cost thousands of dollars. In 2016, the average cost for a surgical procedure was $5,775 in the United States. That’s more than a year’s tuition at some community colleges and universities!

So if you’re looking to get rid of that bulging belly but don’t have the funds to pay for it out-of-pocket, Medicaid is your best friend. It can help you get your dream body without paying a dime.


When it comes to tummy tucks, Medicaid will not cover the procedure. However, if you live in a state that offers Medicaid breast reduction surgery, then you can qualify for coverage of this surgery. The same goes for breast augmentation and reconstruction surgeries as well.

As long as your medical condition warrants Medicaid covering your tummy tuck procedure, you may be able to get covered by Medicaid for it.

Will Medicaid Pay For Panniculectomy

Medicaid was designed to deal with situations that are medically necessary for the patient. For example, if you need to remove a malignant tumor or if you need to get surgery to manage a hernia. Since tummy tucks are typically only cosmetic, Medicaid won’t typically cover them.

Having said that, receiving insurance coverage for an abdominoplasty is still possible, even if it’s Medicaid. These operations tend to fall into a grey area, so you’ll only ever know if your operation will be covered if you get in touch with your insurers and explain the situation to them.

Of course, it’ll take a little more work than just asking the carrier, “Does insurance pay for tummy tuck procedures?” You’ll have to explain why a tummy tuck is a necessary procedure for you and how it will improve your quality of life and potentially even your overall health.

Bodywork and beauty therapy allow us to look and feel our best, but these procedures can often be pricey. If you’re considering getting a tummy tuck to improve the appearance of your abdomen, you might be wondering how to get insurance to pay for one.

Over the course of this guide, we’ll cover everything you need to know about how to get a tummy tuck covered by insurance, including the circumstances in which one would be covered. If you’re wondering, “Will Medicaid pay for a tummy tuck?”, we’ll also go into the circumstances in which you can expect it to

The cost of a tummy tuck varies depending on the surgeon and location. In general, it can range from $5,000 to $15,000. Medicaid will not cover this procedure because it is considered cosmetic surgery in most cases. However, some states may classify tummy tucks as medically necessary if you have an underlying medical illness that causes loose skin as a result of weight loss (like cancer or diabetes).

If you are seeking tummy tuck surgery covered by your health insurance plan or Medicare/Medicaid, you need to make sure you meet all requirements before booking your procedure. If these services are not covered by health insurance or other means, patients may be required to pay out-of-pocket for their care unless they qualify for financing options such as CareCredit®.*

How to Get a Tummy Tuck for Free

Will back discomfort justify a stomach tuck under insurance?

Numerous studies have shown that women who have postpartum incontinence and back discomfort benefit greatly from stomach tucks. Diastasis recti, a disorder where the abdominal muscles separate during and after pregnancy, may be the cause of the back discomfort. A complete stomach tuck strengthens and restores this muscle, which often helps patients with their posture and back problems.

Regretfully, most health insurance companies still see stomach tucks as solely cosmetic treatments, even in spite of the fact that they have been shown to have health advantages. Investing in a no-interest payment plan for a stomach tuck may help you live a better postpartum life.

How is authorization obtained for a panniculectomy?

In order to improve the contours of the abdomen, hanging skin and fat are removed with a panniculectomy. In contrast to a stomach tuck, it doesn’t include the restoration of any underlying muscles.

While panniculectomies may be approved by insurance in extremely select circumstances that fulfill the following basic standards, stomach tucks are still considered elective surgeries.

  • The pannus, or lower abdominal skin, hangs at or below the pubic bone.
  • After receiving topical antifungal therapy, there is evidence of a rash in or beneath the excessive skin folds that has not disappeared (usually at least 3 months)
  • Constant weight that has been documented (usually at least 6 months). Most insurance policies demand at least 18 months, sometimes even 24 months, of verified stable weight for individuals who have had bariatric surgery.
  • You’ll need to submit an application for insurance approval for your panniculectomy along with supporting documentation from your doctor, maybe in the form of letters.

Choosing a Surgeon

Choosing a surgeon is the most important step in your tummy tuck journey. You should ensure that your surgeon is board-certified in plastic surgery, and has experience with tummy tucks. To learn more about your surgeon’s credentials, you can check their website or ask them to provide you with copies of their credentials at your first appointment.

If you are considering getting a tummy tuck through Medicaid, it’s especially important to choose an experienced plastic surgeon who has performed this procedure before. Your doctor should be able to tell you how many procedures he or she has done on patients who mainly have medical insurance like Medicaid. Requesting references from other satisfied patients can also help give you peace of mind about choosing this type of procedure for yourself!


The first step in preparing for a tummy tuck with Medicaid is to make sure you have all the paperwork in order. If you’ve already scheduled your surgery, you don’t need to worry about this step. However, if you haven’t yet scheduled your surgery and are just getting started, make sure that:

  • You have an appointment with your doctor.
  • Your medical records are up-to-date and complete. They should include any pertinent information about past surgeries or injuries (if applicable), as well as allergies or other conditions that could affect anesthesia use during surgery (if applicable).

You should also talk with the doctor who will be performing your tummy tuck about whether or not this surgery is right for you based on their diagnosis and recommendations for care after recovery from surgery. The doctor may recommend another procedure instead of a tummy tuck depending on what findings they come across during their examination of your body type and needs; however, it is important for them to be able-bodied enough before undergoing any operation so as not jeopardize their own safety during recovery time at home after discharge from hospitalization following cosmetic procedures such as liposuction where there might be complications due lack of energy levels required when recovering from multiple invasive surgeries over short periods within one year period where multiple surgeries were performed simultaneously without proper rest periods between each individual procedure listed above versus having two separate separate sessions two months apart which would result much better outcomes overall according to research studies conducted by doctors working at top hospitals around world who specialize in plastic surgery procedures only focusing on cosmetic operations such as: breast augmentation/surgery enlargement breasts implants silicone gel butyl rubber filled saline solution under muscle placement too tight too loose uneven asymmetrical irregular shape light blue veins bulging outwardly dark black lines purple bruises bruising scarring uneven coloration uneven shape size dimension shape orientation angle


You will be put to sleep under general anesthesia. The doctor will make an incision around the belly button and then remove the skin and fat that have been stretched out by pregnancy. He or she will then tighten up the muscles of your abdomen, as well as pull in any loose skin that remains. A drain may be inserted into your body to help with drainage (the removal of blood and fluid).

When you wake up after surgery, you’ll probably feel some pain at first. This is normal; your doctor will give you pain medicine if needed until it goes away on its own within a few days to two weeks after surgery. You’ll also have stitches along your incision line; these should dissolve on their own within 8-12 weeks after surgery. Your doctor will check up on them during follow-up visits until they fall out naturally—this is another benefit of having Medicaid for cosmetic procedures like tummy tucks!

Can A Tummy Tuck Be Medically Necessary

Tummy tuck surgery is primarily considered an aesthetic procedure. This is because it is designed to remove excess skin and tighten the underlying abdominal muscles. Most candidates who seek tummy tucks were pregnant or lost a significant amount of weight. If sagging skin on the midsection prevents you from performing daily activities, this procedure could be an ideal solution. During your assessment with Dr. Morales, we can review the process in full and help you feel confident about your decision.

Medical reasons for tummy tuck surgery

Even though most body contouring procedures are performed for cosmetic purposes in Houston, TX, there are medical reasons for tummy tuck surgery. Recommendations vary based on each individual patient and can be clarified during your consultation. So, when is a tummy tuck necessary? Read the following to learn more:

  • Diastasis recti: Women who have gone through one or more pregnancies often experience loose abdominal muscles. This is known as diastasis recti, and commonly causes medical problems like stress incontinence. Tummy tucks tighten and restore the underlying muscles.
  • Hernia: Pregnancy and childbirth sometimes lead to hernias, causing the intestines to push through the weak spots in the walls of the muscles. A tummy tuck could repair these weak areas and prevent further medical complications down the road.
  • Back pain: For patients who recently lost a lot of weight, heavy abdominal skin causes bad posture and significant back pain. If you are no longer able to support sagging or hanging skin around the waist, a tummy tuck can restore your mobility and make you feel comfortable in your body.

Other Tummy Tuck Benefits

Most patients at Morales Plastic Surgery hope to combine their tummy tuck surgery with other procedures to make the most of their time spent under the knife. This is because tummy tuck benefits allow us to address multiple areas at once. Mommy makeover surgery, for example, includes breast augmentation and other treatments so women can feel refreshed and restored. Let Dr. Morales know about your medical and cosmetic goals for surgery so we can create a custom plan moving forward.

When it comes to recovery after a tummy tuck, you will have to avoid strenuous activity for 1-2 weeks. This means that you should avoid heavy lifting and sexual activity for 6 weeks. You can return to work in about 7 days but make sure it’s not something where you are standing for long periods of time or sitting for extended periods of time.

You will require pain medication as your doctor has prescribed; this may be aspirin, ibuprofen (Advil or Motrin), or another kind of nonsteroidal anti-inflammatory drug (NSAID). Avoid alcohol while taking these medications because they thin the blood and thus increase bleeding. Also, avoidsmoking,g as smoking constricts blood vessels, making healing slower and more difficult.

If there is any drainage from your incision site, do not squeeze or rub it as this could cause infection.

Risks and Complications

  • Risk of infection. Tummy tucks, like any surgical procedure, are associated with a risk of developing an infection. If you have an open wound and it becomes infected, your doctor may prescribe antibiotics to treat the problem.
  • Bleeding or blood clot formation. A tummy tuck can cause bleeding that requires medical care. Following a tummy tuck, some patients have experienced blood clots in their legs or lungs, which can be fatal if not treated right away by a vascular surgeon (a vein specialist). If you’re taking aspirin or another blood thinner before the procedure and notice swelling around your incision site, this could be a sign of bleeding under the skin called hematoma—seek immediate treatment from your physician!
  • Scarring and early separation of stitches due to stretching during pregnancy or weight gain after surgery may also occur but usually aren’t serious complications unless they happen soon after surgery (within two weeks).

When to Call a Doctor

If you experience any of the following symptoms, you should call your doctor immediately.

  • Fever: If you have a fever (greater than 101 degrees) and/or chills within one week of surgery, it may be due to an infection. Your doctor will examine you and order blood work to help determine if this is the case.
  • Drainage from incision: If there is drainage coming out of the incision site, or if it looks like pus or material that resembles coffee grounds, let your doctor know right away so that they can check for an infection.
  • Swelling or redness: The amount of swelling varies from person to person after a tummy tuck procedure; however, some swelling can be expected within seven days after surgery, and it should decrease over time without treatment over-the-counter anti-inflammatories such as ibuprofen (Advil®) can help reduce some swelling but shouldn’t be used before talking with your doctor first! Also keep in mind that it’s normal for scars to become slightly redder as they heal—this usually goes away on its own over time, so don’t panic if this happens. Just remember that everyone heals differently and it may take longer than yours did.
Medicaid does not cover tummy tucks, but there are steps patients can take to get the procedure covered.

Medicaid is a government health insurance program for low-income families and individuals. As with most government programs, Medicaid does not cover cosmetic surgeries, including tummy tucks. However, there are ways to get your tummy tuck covered under Medicaid if you’re eligible.

First, it’s important to know what counts as a “medically necessary” procedure:

  • Procedures that are required to treat an illness or condition that is expected to last at least three months
  • Surgery performed in order to improve function or appearance.

If you are considering a tummy tuck, you may be interested in learning about the insurance coverage options for this procedure. This article will discuss some of the ways that Medicaid may or may not help with this process.

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