Tummy Tuck Insurance Coverage Newport Beach, Orange County

Does Insurance cover Tummy Tuck ?

Tummy Tuck Insurance Coverage


Orange County Tummy Tuck Newport Beach Patient 26

Tummy Tuck Insurance Coverage

Does Insurance cover Tummy Tuck ? Although the Tummy tuck surgery is excluded under most insurance policies, a panniculectomy may receive coverage when medically necessary. A panniculectomy is an effective procedure that removes the redundant pannus of skin and subcutaneous fat located in the lower abdominal area. CLICK HERE to learn more about Panniculectomy Surgery. Panniculectomy is covered by insurance when performed to correct for structural defects of the abdominal wall (such as a hernia) or to relieve abdominal skin disorders such as:

  • Skin infection such as cellulitis and abscess
  • Contact dermatitis
  • Eczema
  • Skin moisture and malodor
  • Hypertrophic and atrophic conditions of skin
  • Persistent ulcer
  • Skin inflammation
  • Persistent local skin irritations
  • Painful inflammation of the tissue
  • Hernia repair
  • Interference with activities of daily living

Most insurance companies will request:

  • Dated photographs of the pannus hanging over the pubis and of the pannus elevated to expose the chronic, persistent, and refractory skin infection or irritation.
  • Office notes from the treating primary care physician that reflect the chronic, persistent, and refractory skin infection or irritation that persists despite optimal medical care over a six-month period.
  • A list of the medications that were prescribed during a six-month period and the length of time the agents were used.

Dr. Siamak Agha, Board Certified Plastic Surgeon, MD, PhD completed his 7 years of medical education at the prestigious University of Cambridge, England.

His residency in the Plastic and Reconstructive Surgery was completed at the University of Pittsburgh Medical Center, one of the most respected and comprehensive Plastic Surgery training programs in the United States.

He is a member of the American Society of Plastic Surgeons and on staff at Hoag Medical Center.

Agha is best known for post-bariatric procedures specializing in Total Body Lift Surgery. He is considered an expert at Body Contouring and has developed cutting-edge techniques such as Abdominoplasty, Spiral Thighplasty, and Buttock Reshaping.

Dr. Agha believes that an understanding of human anatomy and the changes that occur through aging, pregnancy, weight loss, and lifestyle are fundamental for achieving surgical results.