How to Get a Tummy Tuck Covered by OHIP?

Plastic surgery can make you look better, feel better and even more confident in your skin, but getting it funded can be challenging. In some cases, you might need to cover the cost out of pocket, but some medical insurance options may be able to help with this too. Oh, or Oregon Health Plan was made to help low-income and disabled Oregonians get access to health care services they need at little or no cost.

Answer: OHIP coverage

There is no OHIP coverage for abdominoplasty (tummy tuck) surgery in Ontario. To have your surgery covered, you must first have an intake with a plastic surgeon at either The Toronto Cosmetic Clinic or The Windsor Cosmetic Clinic and then pay for your surgery as an out-of-pocket expense.

If you are not able to afford the cost of the surgery, we may be able to provide financing. Contact us today to find out more information about this service. The process is quick and easy. Fill out our online form and one of our patient coordinators will call you back to schedule an appointment with a plastic surgeon at one of our two clinics. Alternatively, if you would like someone from the clinic to contact you right away, please call 416-663-1913 (Toronto) or 519-253-5761 (Windsor).

Answer: Tummy tuck and OHIP

In Ontario, there is no coverage for plastic surgery under OHIP except for cases of burn victim rehabilitation or breast reconstruction. However, cosmetic procedures such as rhinoplasty, liposuction and breast augmentation can be covered through some private insurance plans. Speak with your insurance provider for more information.

A tummy tuck is often one of the most requested surgeries in the world of plastic surgery, but unfortunately, it doesn’t qualify for coverage under OHIP. If you’re thinking about getting this procedure done privately (which would cost anywhere from $6,000 – $10,000), then you may want to speak with your insurance provider first before making any commitments!

Answer: Tummy tuck covered by OHIP

OHIP covers liposuction but not abdominoplasty, which is what a tummy tuck entails. However, insurance companies may cover certain procedures if they see them as medically necessary.

To find out whether or not your tummy tuck would be covered by OHIP (or other medical plans), you need to contact your loopinsurance provider directly and ask about coverage for tummy tucks. You will also want to make sure that you are following all of the pre-operative instructions from your surgeon to receive any possible benefits from OHIP.

Ohip tummy tuck
Ship tummy tuck

How much does a mini tummy tuck cost in Canada?

Let’s take Vancouver as an example, where mini tummy tucks are popular. In Canada, you can pay between $7,500 and $10,000 for your surgery. Mini tummy tucks are not covered under OHIP (the Ontario Health Insurance Plan) or by any other Canadian health insurance plan—and probably never will be; OHIP is always being scrutinized and questioned as to why it pays for one surgery but not another.

How do I qualify for a tummy tuck in Ontario?

Three main factors determine whether you will qualify for OHIP coverage of cosmetic surgery. If you meet all three criteria, you will be eligible for coverage. You must be an Ontario resident; the surgery must be deemed medically necessary, and it must fall under one of several listed procedures (listed below). If at least one of these three things applies to your situation, you can apply for coverage through OHIP.

You must live in Ontario
The procedure is considered medically necessary
The procedure falls under one of the following categories:
– aesthetic services or products (e.g., hair removal, wrinkle reduction)
– breast reconstruction after mastectomy

Final Tips

You can find out whether your tummy tuck is eligible for OHIP coverage here. As you go along, take notes and be sure to keep asking questions. Once your consultation with Dr Berberian is complete, ask him/her to explain any medical jargon in terms that you understand. Some doctors are great at going into detail, others need help breaking things down for patients—there’s no such thing as too many questions!

1 thought on “How to Get a Tummy Tuck Covered by OHIP?”

Leave a Comment