Is Liposuction Covered by Insurance?

Liposuction, also known as lipoplasty, is a cosmetic surgery procedure involving removing unwanted fat from specific areas of the body. Liposuction surgery in Delhi is performed to improve the body contour and shape and reduce the appearance of stubborn pockets of fat resistant to diet and exercise.

The procedure is typically performed on the abdomen, hips, buttocks, thighs, arms, and face, and it can be performed on both men and women.

Liposuction can be performed using different techniques, including traditional liposuction, tumescent liposuction, and radiofrequency-assisted liposuction (RFAL).

Many people who desire to lose undesirable fat from various body areas with liposuction ask if the procedure will be reimbursed by insurance.

Cost of Liposuction Procedure

The actual liposuction surgery cost in Delhi varies from individual to individual. The cost of the liposuction procedure depends on various factors, including:

The type of liposuction: The cost of liposuction can vary depending on the type of procedure, such as traditional liposuction, radiofrequency-assisted liposuction, power-assisted liposuction or laser-assisted liposuction.

The location of the practice: Liposuction costs can vary depending on where you live, with prices often higher in larger cities and urban areas.

The surgeon's experience and qualifications: The cost of liposuction can also be affected by the surgeon's qualifications and experience, with prices generally higher for surgeons with more experience and training.

The size of the area to be treated: The liposuction surgery cost in Delhi will also depend on the area to be treated, with larger areas typically costing more than smaller ones.

Anesthesia and facility fees: The liposuction cost will also depend on the type of anaesthesia used during the procedure and the facility fee. If the procedure is done in an outpatient surgery centre or hospital, the cost may be higher than if it is done in the surgeon's office.

Combination procedures: If you have liposuction in combination with other procedures, such as a tummy tuck or breast reduction, the cost will likely be higher.

Additional costs: The cost of liposuction surgery in Delhi may also include other expenses such as compression garments, medications, and follow-up appointments

Does Liposuction Cover Liposuction?

Liposuction is usually performed to improve the patient's appearance and self-esteem; therefore, it would be considered a cosmetic procedure, and most insurance companies would not cover it. This means that the procedure's cost will be the patient's responsibility.

However, in some cases, the insurance company may cover liposuction if it is deemed medically necessary. For example, suppose a patient has a significant amount of excess fat, causing an abnormal buildup of fat in the legs or other health issues, but the diagnosis would be confirmed by a specialist and is made after a proper evaluation.

Coverage for liposuction surgery in Delhi will depend on the insurance policy and the specific circumstances of the individual case. It's always best to check with your insurance provider to see what their policy covers and whether pre-authorisation is needed before undergoing surgery.

When Could Insurance Cover Liposuction?

Liposuction is typically considered a cosmetic procedure, which is usually not covered by health insurance. Liposuction is not considered medically necessary for treating any specific disease or condition; it is regarded as an elective surgery that the patient chooses to improve their appearance. However, there are some exceptions in which the liposuction surgery procedure may be covered by insurance:

Lipomas: Lipomas are benign tumours made up of fat cells, and they may be removed with a liposuction procedure if they are causing pain or pressing on a nerve.

Lymphedema: Lymphedema is a long-term, recurrent condition that causes a build-up of lymphatic fluid in the tissues, which can cause swelling and pain. Liposuction may be covered by insurance as a treatment for this condition.

Gynecomastia: Gynecomastia is a condition characterised by the enlargement of breast tissue in males. The liposuction procedure can help to remove the extra fat.

Lipodystrophy syndrome: Lipodystrophy syndrome is a medical condition characterised by abnormal body fat distribution resulting in a distorted appearance. The liposuction surgery procedure can remove the extra fat and improve the cosmetic appearance of the affected areas.

Reconstructive surgery: In some cases, liposuction may be considered medically necessary if it is part of a larger reconstructive surgery, such as breast reconstruction after a mastectomy.

It's also worth noting that even if insurance covers the cost of liposuction, the procedure may still carry a significant out-of-pocket expense for the patient. And usually, the patient is responsible for the cost of anaesthesia and the facility fee.

How to Get Liposuction Insurance Coverage

Here are some specific actions you can take to get liposuction covered by insurance:

Consultation with surgeon: Ask your insurance-approved surgeon to issue a written request to the insurance provider to establish that liposuction surgery in Delhi is medically necessary for your condition. Your surgeon will provide a detailed pre-authorization request outlining the procedure's medical necessity, including your medical history, the diagnosis, and any relevant lab results or other diagnostic tests that support the need for the procedure.

Arrange all the relevant documents: Gather all pertinent medical records, including surgeon's notes, lab results, and diagnostic tests, to submit along with the pre-authorization request. Submit the pre-authorization request and all supporting documentation to your insurance provider.

Contact your insurance provider: Once the pre-authorization is granted, schedule the procedure with approval from the insurance company. After the liposuction surgery procedure, the surgeon will bill the insurance company for the covered portion of the surgery. Your insurance company will process the claim and send you an explanation of benefits (EOB) outlining the amount of the claim that was approved, denied or denied as not being medically necessary.

Book your Liposuction Consultation Today!

Liposuction surgery is a cosmetic procedure that helps you remove excess fat and also helps to resolve medical issues like lipomas, lymphedema, gynecomastia and lipodystrophy syndrome. Insurance coverage for liposuction varies among plans and insurance providers, so it's important to check with your insurance provider to see if they will cover the procedure and the requirements for coverage.

If you are considering liposuction surgery, contact Med Esthetiks. The expert surgeons will evaluate your condition and guide you regarding the procedure.