What Is a Tummy Tuck?Ībdominoplasty, known more commonly as a “tummy tuck,” is a surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. Austin, you can finally have the look you desire. No matter what the cause, with a tummy tuck performed by Dr. The primary care doctor would then refer you to a nearby plastic surgeon participating in your HMO-like plan for treatment.Time, pregnancy, dramatic weight loss, or many other factors may have contributed to your inability to achieve the flat tummy you’ve always dreamed about. Therefore, your first step is meeting with your designated PCP, who must diagnose you with a problematic pannus, lipedema, uterus, or hernia or recognize the need for breast reconstruction after a mastectomy. ![]() Many recipients enroll in Health Maintenance Organizations (HMOs) that require specialist referrals.įor example, many Medi-Cal programs operate under this model. ![]() Your Primary Care Provider (PCP) is sometimes the only avenue to find a local doctor accepting your Medicaid plan for tummy tucks. Of course, in addition to finding a doctor who takes your Medicaid plan administered by your specific MCO, you must convince the surgeon to perform two procedures simultaneously. Get a listing of local participating providers.Go to the designated website and find the provider directory. Open your wallet and retrieve your membership card to get the correct entity. The online provider directory published by your Managed Care Organization (MCO) or state agency is the primary way to find a surgeon who takes Medicaid for tummy tucks.Įach state contracts with different MCOs to administer their plans. If your motivation is purely cosmetic, no doctor will take your coverage, regardless of their affiliations. Looking for local plastic surgeons who accept Medicaid for tummy tucks is another consideration, provided you need a second medically necessary procedure. Doctors Who Accept Medicaid For Tummy Tucks Discuss the pros and cons with your gynecologist before proceeding. Studies show hysterectomies and abdominoplasties can be performed simultaneously, possibly saving you money on anesthesia, nurses, operating room, and other shared expenses. Hysterectomies are needed when a patient has abnormal bleeding, pain in the pelvic region, endometriosis, cancer, or uterine fibroids. Medicaid might cover a portion of your tummy tuck costs if combined with a medically necessary hysterectomy (removal of the uterus). Necrosis (tissue death) can occur if not treated. Medicaid might cover some of your tummy tuck costs if combined with a medically necessary hernia repair, saving you money on the anesthesia, nurses, operating room, and other shared expenses.Īpply for temporary disability after hernia surgery and possibly save even more money by replacing a portion of your income while you recover.Ī hernia occurs when part of your abdominal organs bulges through an opening or weakness in the muscle or tissue that contains it. Support breast reconstruction after mastectomy or lumpectomy requiring the harvesting and grafting of autologous fat.Treat lipedema (abnormal build-up of fat in your legs and arms, causing pain or limiting movement).Medicaid often pays for Liposuction if you can establish a medically necessary reason to harvest fast from targeted areas on your body. Medicaid might cover some of your tummy tuck costs if combined with a medically necessary Liposuction, saving you money on the anesthesia, nurses, operating room, and other shared expenses. Schedule both procedures on the same day, months after your last Cesarean section, to save money on anesthesia, nurses, operating room, and other shared expenses. Medicaid often covers tubal ligation (not reversal) as a permanent contraception method. Doctors strongly advise women to wait until they finish having babies before undergoing abdominoplasty. If combined with another medically necessary procedure, Medicaid might cover some of your tummy tuck costs after a C-section. ![]() Medicaid often covers Panniculectomy after weight loss surgery when the excess skin hangs below the symphysis pubis (joint between two pubic bones), causing a functional impairment that has not responded to less invasive treatments. You might save money on the anesthesia, nurses, operating room, and other shared expenses. If combined with another medically necessary procedure, Medicaid might cover some of your tummy tuck costs after significant weight loss. Doctors Who Accept Medicaid For Tummy Tucks.How To Get Medicaid To Cover Tummy Tucks.
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