Laguna Beach, CA
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Insurance Coverage for Labiaplasty and Vaginoplasty
November 28, 2012 11:27 PM
Medicaid may cover labiaplasty for medical reasons such as a bad tear from childbirth. However, I do not personally know of any reputable/high volume vaginal surgeon who accepts
Medicaid may cover labiaplasty for medical reasons such as a bad tear from childbirth. However, I do not personally know of any reputable/high volume vaginal surgeon who accepts Medicaid/Medicare/Insurance payments for this procedure. The payments are a fraction of usual charges are. For example, HMO insurance has paid me $380 in the past for a two hour case that did not even cover my in-office disposable equipment. The usual fee for labiaplasty ranges from $4000 to $6500 depending on surgeon and location. Insurance will not pay for an elective vaginoplasty, or vaginal tightening, but will pay for surgery covering a pelvic prolapse such as rectocele. Insurance will not cover clitoral hood reduction as far as I know. Insurance will pay for any incontinence surgery, fallen bladder or fallen rectum repairs which is great. The cash fee for pelvic reconstruction is upwards of $25,000 if there is no insurance involved. Actually much higher costs occur if done in a hospital and a day or two is needed for post op recovery. You may be able to find someone willing to do labial surgery at an academic institution for training purposes. The scary thing is that most surgeons in academic institutions do not have the training for advanced labial surgery or the minor, majora, clitoral hood.
You asked many questions and I hope I was able to cover the high points to help you make a decision to proceed with surgery or to wait.
Red Alinsod, MD