Does Insurance Cover Labiaplasty Revision?

After spending all the time and money to undergo labiaplasty, it is understandable that you may be hesitant, scared, or even uncomfortable to do it all again with revision surgery.

However, for some women, the implications of a botched labiaplasty negatively impact their health and lifestyle, making them consider a labiaplasty revision and/or reconstruction.

Whatever the reason for the secondary procedure, one of the first questions on most patient’s minds is whether the procedure is covered by insurance or whether they will be paying out of pocket. Typically, most insurance companies decide what will be covered based on what they deem medically necessary.

Labiaplasty revision is done either for cosmetic or medical reasons. Insurance will not cover a treatment performed for cosmetic or aesthetic purposes — usually to change labia size or shape for a more aesthetically pleasing look — however, some labiaplasty revisions may not revolve just around aesthetics.

When Is Labiaplasty Revision Considered Medically Necessary?

Sometimes, there are unforeseen variables that lead to complications and poor outcomes. For some patients, a botched labiaplasty can result in excessive scarring, asymmetry, or over/under correction of the labia and clitoral hood.

Your insurance company will take into consideration the impact the issue has on quality of life. In women who have a severe structural abnormality that causes significant functional impairment, a portion of the expenses may be covered by insurance.

What Influences the Decision?

These situations require reconstructive surgery to correct abnormal structures to improve function and correct significant issues that may cause problems in the future.

Among them include:

• Excess scar tissue that causes physical discomfort or pain during normal activities, including sexual intercourse or specific exercises.
• When there is inadequate labia minora removal, leaving behind uneven/hanging labia minora tissue that causes chronic infections, urination, and feminine hygiene problems or physical discomfort when wearing certain clothing or during certain types of exercise/activities.
• Over-resection of the labia minora that leads to chronic dryness, scarring, and pain.
• Trauma to the labia causing disfigurement of the labia minora may be another ground for insurance coverage.

In all these situations, labiaplasty revision is needed to potentially improve the patient’s quality of life and well-being.

Possibility of Insurance Coverage

Your labiaplasty revision procedure may be partially covered by insurance, depending on the terms of your policy. This is why it is so important to contact your insurance company for specific information about your policy and determine the specifics of coverage.

In order to ascertain whether you have a medical reason that makes you an ideal candidate for insurance coverage consideration, Dr. Gary Alter, a leading specialist in reconstructive labiaplasty, can help. Our office will also assist you in getting approved for insurance coverage if the need is valid.

Get in Touch With Us

Did you have a poor experience with your original labiaplasty procedure and would like to learn more about your financial options and discover the best approach for you? Contact us today or fill our online form to schedule your consultation with Dr. Alter.