Reza Nabavian MD: Plastic Surgeon Santa Monica California

Does insurance cover liposuction?

Does insurance cover liposuction?

Liposuction is a procedure that uses suction to remove fat from your body. Small, thin, blunt-tipped tubes (cannula) are inserted through tiny cuts in the skin throughout the process. As the doctor slides the tubes around under the skin to target specific fat deposits, the fat is suctioned out.

Improved procedures have made liposuction safer, simpler, and less unpleasant in recent years.

Liposuction is commonly performed in a suitably equipped doctor’s office, ambulatory surgery center, or hospital as an outpatient operation. Unless a considerable amount of fat is being removed, it usually does not necessitate an overnight hospital stay. In some circumstances, local anesthetic is employed. A sedative may or may not be provided to help you relax. General anesthesia or deep sedation with a local anesthetic may be used to treat a big area or volume of fat.

Cosmetic surgery is usually not covered by insurance

The modern health insurance sector is notorious for its fierce guardianship of its assets. After all, they are for-profit businesses that want to profit from their investments.

As a result, health insurance only covers the essentials—medical crises, terminal disease treatment, and annual checkups—while excluding items that some might deem frivolous. Cosmetic surgery is at the top of that list. Medical procedures that are solely intended to improve a person’s looks.

Liposuction is a type of cosmetic surgery that removes fat from the body

Liposuction is, at its core, an aesthetic procedure. Its primary objective, in more than 9 out of 10 cases, is to enhance one’s look rather than to treat a medical condition. As a result, it’s unlikely that anyone’s insurance carrier will cover their liposuction operation, especially if it’s a large provider like Anthem, Humana, or CVS Health.

When does insurance cover liposuction?

Of course, this isn’t to imply that big cases of liposuction or other aesthetic operations aren’t reimbursed by insurance companies. Typically, this is because the case in issue has been determined to be a medical emergency or there is some other medical reason for a liposuction treatment to be performed.

Heart congestion or cardiac difficulties, lowering excessive triglyceride levels, or eliminating subcutaneous lipomas are just a few instances. In some cases, the patient’s health insurance provider may be able to give coverage.

Liposuction can help with a variety of health issues

Liposuction has some health benefits, depending on the patient and the amount of fat removed after the treatment. Liposuction has been shown to help with medical issues associated with obesity, including as cardiovascular congestion and back pain (but liposuction is not a cure for obesity).

Liposuction also helps to lower triglyceride levels in the body. These fatty lipids can be used to supply energy in between meals, but too much of them might be harmful to your health.

Lipomas of the Subcutaneous Layer

In today’s society, liposuction techniques are also commonly used to remove lipomas. Lipomas are fatty deposits that develop an unsightly lump just beneath the skin. They’re usually innocuous, but they can occasionally be malignant and should be treated as quickly as possible by a medical specialist. Liposuction is one of the most effective treatments for them right now. If you need liposuction to treat a malignant subcutaneous lipoma, your insurance company will almost certainly pay for it.

Is liposuction for lipedema covered by insurance?

Liposuction is also used to treat lipedema, a condition in which fat deposits in the body grow and swell into the legs, producing bloating and swelling in the legs and, in severe cases, the lower torso.

Despite the fact that this is a serious medical concern, major health insurance companies practically never pay liposuction since it is thought that the problem can be handled with conservative therapy.

Other Thoughts

However, if you are unwilling to pay for liposuction operations out of pocket and prefer to remain a law-abiding citizen who is not convicted of insurance fraud, there may be other options for getting your insurance company to approve your claim. The best approach to ensure that you’re getting the greatest coverage possible is to speak with professionals in the field.

Contact your health-insurance provider for more information.
Talk to your insurance provider. It’s the first and most obvious step to ensuring that you’re getting the finest care possible, and it’s astonishingly unusual given how straightforward it is. Insurance companies sincerely want to provide you with the finest possible service.

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