Question:
Does having an incisional hernia help ins. approve TT?

I have an incisional hernia that was repaired (supposedly) in 2001 but has reoccured and is now larger. DO you think this will help insurance to approve a tummy tuck? I am 37 pounds away from goal.    — Kristi H. (posted on December 29, 2004)


December 29, 2004
Kristi: I don't speak from personal experience, but i've read and was told by my surgeon, that having a hernia definitely helps with the insurance approval for a tummy tuck!! I am about 25 lbs from goal, and in definite need of a tummy tuck! I have actually hoped for a hernia, because I don't think my insurance will cover the TT. I was denied twice for my WLS, with a BMI of 49, and several comorbidities!! Best of luck, I hope you have success with your approval!! DeeAnn R
   — DeeAnn

December 29, 2004
Yes I think it will help. I believe insurance may cover the hospital portion no problem as long as the hospital bills the hernia repair as the principle procedure. Not sure about the physician's fee.
   — Kara J.

January 5, 2005
If your PS is willing to do both at the same time or is boarded in general and plastics, then it should help. Any insurance coverage can take a bite out of the hospital bill, overnight stay, and usually even the surgeon's fees. Its worth "shopping" around to find a PS willing to help on this.
   — DrL




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