How can I get my insurance to pay for liposuction?
What are my best steps for getting coverage?
- Talk with your doctor. Ask your Medicare-approved doctor to submit a written request to Medicare or your plan’s provider, explaining why liposuction is medically necessary for your condition.
- Collect additional documentation. …
- Contact Medicare.
Can liposuction be medically necessary?
Liposuction is usually not medically necessary. The procedure is typically reserved for cosmetic purposes. People choose the treatment to reshape problem areas of the body, including thighs, hips, and stomach. Liposuction is a last-ditch effort when exercise and diet aren’t enough.
What is considered medically necessary liposuction?
Doctors may also state that liposuction is medically necessary for: repairing the breast after a mastectomy for breast cancer. removing fat deposits from the legs in people with lymphedema to improve mobility. transferring fat from one area to another in people with a severe injury or burn.
Why is liposuction not covered by insurance?
Because liposuction is a cosmetic surgical procedure it’s almost never covered. That is, unless there’s some therapeutic benefit or for the treatment of subcutaneous lipomas (small fatty tumours just beneath the skin).
Is getting liposuction worth it?
Some people wonder whether liposuction is worth the price, but numbers indicate that the majority of those who have liposuction are very happy with the results. In fact, lipo has a 91% “worth it” rating on RealSelf.com.
How painful is a liposuction?
The surgery itself will be painless, as the area will be numbed and/or you will be asleep during the procedure. After liposuction, most patients are not in pain, but they do feel very sore, as though they’ve just completed a very hard workout in the treatment area.
How do you qualify for liposuction?
Liposuction may be suitable for you if:
- You are physically healthy and at a stable weight.
- You have realistic expectations.
- You are a non-smoker or have stopped smoking.
- You have bulges that persist despite a healthy diet and exercise.
How much does liposuction cost?
The average cost of liposuction is $3,637, according to 2020 statistics from the American Society of Plastic Surgeons. This average cost is only part of the total price – it does not include anesthesia, operating room facilities or other related expenses.
Does Blue Cross insurance cover liposuction?
BCBSNC does not provide coverage for not medically necessary services or procedures. Lipectomy/liposuction is considered investigational as a reconstructive procedure, and cosmetic and therefore not medically necessary for all other applications.
Does insurance pay for plastic surgery?
Cosmetic surgery isn’t covered by health insurance, but medically necessary plastic surgery is. Medicare and health insurance won’t pay for cosmetic surgery because it’s not medically necessary — for example, surgery intended to improve a person’s aesthetic appearance.
What is a belt tummy tuck?
What is a belt lipectomy? A belt lipectomy is a type of surgery. It’s done to remove the loose skin and fat around your waist or “belt line.” This is also called an abdominal lipectomy, tummy tuck, and panniculectomy. You may have this surgery after you lose a great deal of weight.
What weight loss surgery is covered by insurance?
All health funds cover bariatric (weight-loss) surgery, however you will need to be in a high level of cover. To check, simply contact your health fund and quote the following ‘item numbers’: Gastric band 31569, Gastric Sleeve 31575, Gastric Bypass 31572. It’s that simple!