How to get a panniculectomy covered by insurance

When Is Panniculectomy Medically Necessary?

A panniculectomy is medically necessary for people who meet a few criteria.

You must have a panniculus that overhangs the pubis and present evidence of having chronic rashes, ulcers, cellulitis, or infections for at least three months that do not respond to traditional treatment options.

Additional criteria are documented evidence of having difficulty walking or doing everyday tasks.

If symptoms or physical difficulties continue after a large amount of weight loss that has remained stable for six months or if you have documents proving you tried to lose weight without success, you might also qualify for a panniculectomy.

In the instance of having had bariatric surgery, you have waited at least 18 months since the procedure and are at a stable weight.

If you need to have a procedure and the surgeon requires visibility and access to the site that excess skin and fat do not allow, a panniculectomy can be medically necessary.