Aetna - Do they cover post-op tummy tuck if needed?

   — lisadiehl (posted on February 5, 2000)

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February 5, 2000
Please e-mail me and I will send you a copy of the current Aetna policy on this surgery. [email protected]
   — Marjie W.

February 5, 2000
I would like my name deleted from this list. Thank you.
   — Barbara S.

February 5, 2000
I'm not sure about Aetna, but I do know that a lot of insurance companies will pay part or all of the panniculectomy if there are medically necessary circumstances, such as re-occuring yeast or fungal infections under the apron. Hope this helps!
   — Anne C.

February 5, 2000
I have checked into my plan-Aetena-PPO(Ohio)- they have said if the doctor deems it necssary they will. I have had a c-section and will have this surgery(2/8/00) and also have narrowing of the nerves in my lower spine(born with it)- so chances are pretty good mine would be covered. At least I hope.- best of luck-Tasey
   — tasey B.

February 5, 2000
My ins company not only covered a tummy tuck but threw in a breast reduction as well!! I developed a hernia from the WLS and while they were doing the hernia repair, they did the tuck and reduction. Now I have perky breasts that do not hang to my belly and a flat stomache!! I guess I am one of the lucky ones where ins is concerned- Optima Insurance in Hampton Roads area of Virginia
   — rebecca M.

June 8, 2001
Hi, I worked for Aetna for 3 years. I worked in Provider Relations as well as the Precert department. A tummy tuck/abdominoplasty is covered by Aetna with a letter of medical necessity. The precert department will more than likely request pictures to determine the need. Trust me I have seen plenty of them authorized. The guidelines state with a weightloss of more than 100lbs, supported with documentation (letter of med nec and photos), and review by medical director this is considered a covered surgery. Hope this helps!
   — Amy H.

February 4, 2002
I'm not sure who this James Weaver character is (or was since his profile is not longer listed on this site), but he is wrong -- DEAD WRONG! I can only speak for Aetna, but reconstructive surgery following massive weight loss is considered corrective not cosmetic. And it IS covered by insurance. So please review your particular policy as they change constantly. Hope this helps!
   — Jenn D.

February 4, 2002
My insurance company (Health Net) requested several photos but in the end decided not to pay for the tummy tuck. Least you think I did not have much to "tuck," it turned out to be over six pounds worth! I have also had my upper arms done and will have a breast lift and upper legs done---all at my own expense. Anyone ever have their calves or forearms done?
   — Judy B.

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