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Does Health Insurance Cover Lipo?

Generally liposuction is considered a cosmetic operation, so most insurance plans won't pay for it. That's because insurers only cover procedures that treat a diagnosed medical problem, not those done to improve appearance.

Liposuction may be covered if part of breast reconstruction (donor site or contralateral breast) or to treat lipodystrophy that develops as result of a medical problem. In these cases, your surgeon usually has to submit documentation showing medical necessity, and every insurance plan has its own rules about what qualifies and what paperwork is needed. If you think your situation might fall into one of these categories, bring it up at your consultation so we can review your records and talk with your insurer before any surgery is scheduled.

Clinical Context

Insurance rarely covers liposuction because most procedures are elective and cosmetic. Coverage is more likely when liposuction treats a diagnosed medical condition, such as lipedema or lipodystrophy, or when it's part of a covered reconstructive procedure like breast reconstruction. Insurers typically require documentation of medical necessity from your physician before approving a claim, and requirements vary by plan. Checking directly with your insurer and your surgeon's office is the best way to know what applies to your situation.

Answered by Dr. Steven Williams, President Emeritus of ASPS

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We are leaders in cosmetic surgery, facial aesthetics, and medically supervised weight loss, serving the entire San Francisco Bay area. Whether you live in the Bay Area or are coming in from out of town, we’re happy to answer any questions you may have on your path to your new self. Book your cosmetic surgery intro call or Med Spa consultation today and take the first step towards realizing the look you’ve always wanted for yourself.

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