Question:
Aetna - Do they cover post-op tummy tuck if needed?
— lisadiehl (posted on February 5, 2000)
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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