You asked: Who is a candidate for Panniculectomy?

How much weight do I need to lose to have a Panniculectomy?

It is important that you be close to your desired weight for six to twelve months before undergoing a tummy tuck. Most surgeons will recommend patients be between 10-15 pounds from their goal weight. This is important as gaining or losing additional weight can undo the contoured shape achieved through your surgery.

Do you have to lose weight before a Panniculectomy?

Panniculectomies are often performed on adults and, in some cases, adolescents following bariatric surgery weight loss. 3 You should generally be at a stable weight for six months before undergoing a panniculectomy.

Why is Panniculectomy covered by insurance?

If surgery is warranted because excess skin or tissue is causing persistent health issues (such as skin conditions, functional deficit, or interference with every day activities), a panniculectomy may be covered by your insurance plan.

What qualifies you for a Panniculectomy?

You may be an ideal candidate for panniculectomy if:

  • excess abdominal fat causes health issues such as back pain, skin rashes, or ulcers.
  • you don’t smoke.
  • you are in good health.
  • your weight has been stable for at least six months to one year.
  • you have realistic expectations from surgery.
  • you are maintaining a healthy diet.
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Does insurance cover abdominoplasty?

In many cases, a tummy tuck is merely a cosmetic procedure, and most insurance plans will not cover this. However, if you are experiencing rashes or skin infections, it then becomes a medical need to have the surgery. In this case, you may be able to get some of the costs of your tummy tuck covered by insurance.

Is a Panniculectomy the same as a tummy tuck?

Well, there is a difference. In short, a panniculectomy is a medical operation and an abdominoplasty or tummy tuck is a cosmetic operation. During the abdominoplasty, or tummy tuck, not only the skin but the muscles underneath the skin are tightened up.

Does insurance cover skin removal surgery?

Though heavy, excess skin left behind after weight loss can be considered a medical condition due to discomfort and increased risk for skin conditions, most insurance providers do not cover body lift surgery.

How much is a Panniculectomy?

A panniculectomy is more expensive than a tummy tuck, but it’s often covered by medical insurance. The cost can range from $8,000 to $15,000, plus anesthesia and other extras. A tummy tuck is less expensive but is not covered by insurance. This elective procedure costs on average around $6,200.

Does Ahcccs cover Panniculectomy?

Rule 23-203-4.10 – Abdominal Panniculectomy A. Medicaid covers abdominal panniculectomy (abdominoplasty, abdominodermatolipectomy) only when there is medical documentation that demonstrates the procedure is: 1. Medically necessary, 2.

Does Blue Cross Blue Shield of Alabama cover a Panniculectomy?

Abdominoplasty, Panniculectomy, and Lipectomy of the abdomen meet Blue Cross and Blue Shield of Alabama’s medical criteria for coverage when all of the following conditions are met: • The panniculus folds hang below the pubis; AND • Clinical records document the presence of symptomatology such as chronic irritation, …

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What is a medically necessary reason for having a tummy tuck?

In flattening the abdomen and removing excess stomach fat, a tummy tuck surgically tightens the weakened muscles, resulting in much-needed abdominal support that can alleviate your back pain. To improve posture: A byproduct of stronger abdominal muscles and decreased back pain is improved posture.