If they do, your doctor may recommend a second surgery. In some cases, a doctor might be concerned about a lump being a liposarcoma and so they will order some tests to be done to ensure they know exactly what it is they are dealing with. It is usually located just below the skin and feels like a soft, rubbery lump or soft tissue tumor. Always look for changes in the size, shape, or firmness, and check the integrity of the skin covering it. [4] Turmeric, like neem oil, is commonly used in Ayurvedic medicine. Can I Shrink An Acoustic Neuroma Naturally? For lipoma removal surgery to be covered by Medicare, a physician must determine that the lipoma is a threat to the person's health and well-being or that it requires . A local anesthetic is administered to . Very large lipomas may be removed with liposuction. Excision is the surgical removal of a lipoma through a cut in your skin. At CFMS, our plastic surgeons remove lipomas by direct surgical excision using local anesthetic . Recently, UnitedHealthcare Insurance Company was able to defeat a proposed class action lawsuit that claimed their coverage did not include proper lipedema treatment. In this article, we will discuss how to get lipoma removal covered by insurance and what your options are. Learn how we can help. Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available. Can't find the answer you're looking for? * Dr says I will have to be put to sleep. You dont have to have it removed if you dont want to but overtime they can become very uncomfortable and even painful, so you might want to consider having it done. Because lipoma is a symptomatic disorder, all of this is feasible. When lipoma removal procedures are approved for coverage by Medicare, the surgery is typically performed on an outpatient basis, and Medicare Part B covers outpatient services. However, if the lipoma is in an area that bothers the patient, is painful or is growing, the doctor could agree with the patient that the lipoma is operated and suppressed. If you plan on using an out-of-network surgeon, it will take our knowledge, experience, and connections to get covered. The UHC policy also requires a referral from a Primary Care Provider (PCP) or a vascular specialist. Some common symptoms of lipomas include: If you are experiencing any of these symptoms, it is important to see a doctor. Therefore, it is advised that you talk to your insurance provider and clear all your doubts before going to a hospital or clinic for lipoma treatment. The cost of lipoma removal NYC varies between $2,000 to $5,000 for the surgical operation. It works by using chemicals to dissolve fat cells beneath the skin. For lipoma removal surgery to be covered by Medicare, a physician must determine that the lipoma is a threat to the person's health and well-being or that it requires removal to treat a disease, making the procedure medically necessary. For your exact medical insurance coverage, you will need to contact your health insurance plan provider to determine what your exact Medicare coverage is. The doctor will inject the patient with a local anesthetic around the lipoma, make a small incision in the skin, remove the noncancerous growth, and stitch the incision after checking that the bleeding and infection ends. Best Motorcycle Helmets 2022 full-face, half-face & Modular, Care Health Insurance (Formerly Religare), New India Assurance Senior Citizen Medi claim Policy, Check to see if your lipoma is a cosmetic issue, Have the procedure done at a teaching hospital. UnitedHealth will change its coverage position to provide that liposuction is a medically proven treatment for lipedema and is thus medically necessary if . Repeat treatment at least five times. %PDF-1.6 % Medicare coverage of lipoma removal can be difficult to obtain due to a number of factors. However, other factors like size and location of the lumps can make having them incredibly uncomfortable for people sometimes even causing a great amount of pain and discomfort. lipoma that took 6 hours to remove. We recommend that you work with us from the start to minimize the chances of having to appeal a denial which is more costly and time-consuming. 462 0 obj 25,000 to Rs. In a 2018 case study, researchers reported a 14-kg (31-lb.) In most cases, it consists of outpatient surgery performed under local anesthesia. it's the size of a tennis ball, but wider.It doesn't hurt, but it's uncomfortable due to its size. Lipomas are fatty lumps that develop under your skin. Steroid injection Medicare will most likely be able to help with those prescriptions, but if you have issues or questions about your coverage you will need to talk to Medicare to confirm what your coverage is. Your doctor will make a cut in your skin over the lipoma. You might like to read: Is Cyst Removal Covered By Insurance ? In these circumstances, many individuals opt for lipoma removal and may wonder if Medicare covers the procedure. Laser removal. The person is usually under local anesthesia during the procedure and should be able to return home on the same day. The feedback link Was this Article Helpful on this page can be used to report content that is not accurate, up-to-date or questionable in any manner. Mexico Bariatric Center: An Overview: Reviews, Costs 2022: Reviews, Costs 2022. Any advice is much appreciated . the howey mansion wedding cost. Check to see if your lipoma is a cosmetic issue. A tissue sample removal (biopsy) for lab examination. Lipomas very rarely grow back. Once an insurer has a coverage policy, you cannot expect to pay upfront and submit a claim later. Hi Jensina, Yes, this is a delemma. For California residents, CA-Do Not Sell My Personal Info, Click here. United Healthcare PDF Guide to Bariatrics. The overlying skin is generally not affected; however, with time lipomas may grow larger and decrease the ability of your dog to move. 463 0 obj These growths may slightly resemble lipomas, but they dont move easily beneath the skin and can be tender and painful. Yes, Medicare and insurance tend to cover lipoma removal surgery. Burney R, et al. Individuals enrolled inMedicare Advantage Plansmay be eligible for additional coverage pertaining to lipoma removal procedures. Dr. Pimple Popper| Returning this summer!Dr. Lipoma removal Surgery Is it covered under medical insurance ?Does health Insurance cover Lipoma Removal Lipoma is a disease whenever it is causing problem . A doctor or surgeon will be able to walk you through what will happen for your individual situation. There will be some cases where the situation is complicated or its a very large lipoma and surgery is needed. a. The pain can usually be managed with over-the-counter medications like ibuprofen or acetaminophen (Advil or Tylenol). (2018). Larger lipomas may require sedation or general anesthesia. Most doctors will send the lipoma (or a portion of it) off to a pathology lab to ensure it is a benign tumor and not dangerous to the persons health. A lipoma is a slow growth of fat mass that we often find in the skin and underlying muscle layer. Note: For information regarding excision of excess abdominal skin, please see CG-SURG-99 Panniculectomy and Abdominoplasty. Some examples of comorbidities include high blood pressure, high cholesterol, obstructive sleep apnea, Type II Diabetes, angina or stroke. There is a very common plastic surgery procedure called injection lipolysis that helps to dissolve fat and give patients a much slimmer appearance. Most lipomas are surgically removed by cutting them out. While there are different treatment methods available, the most common is lipoma removal. However, because lipomas are usually not considered harmful to an individuals overall health, obtaining Medicare coverage for lipoma removal procedures can be a bit challenging. Bariatric Journal Editor; Jan 07, 2017; Bariatric Journal Editor. What happens during lipoma removal? It is possible that there is more than one lipoma. If you want to make sure that your lipoma removal is covered by insurance, the best thing you can do is call them. are not usually painful. Dr. Michael K. Kim can often remove a lipoma surgically. I was 13 when I first noticed it but it has grown tremendously over the years. Lipoma removal costs $1,950 on average, according to 340 reviews from RealSelf members. While this procedure is considered cosmetic, studies have shownthis treatment may be effective when performed by a professional licensed physician. In other states, we are usually able to help Coverlipedema.com members work with the surgeon of their choice. Youll be able to go home on the same day as your procedure. Whats Causing This Hard Lump Under My Skin? The difficulty will be finding a surgeon that contracts with Medicaid. After the procedure, your doctor will likely send a sample away to the lab to have it tested just to be sure there isnt any kind of harmful cells in the lipoma. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. 0 This type of treatment is done when the lipoma develops pain, sensitivity, and redness. They arent cancerous. While costs can vary, it may start at $1000 upwards to remove a lipoma . Knowing that it can make it very difficult to getMedicare to pay for this procedure since its not essential. The largest ever lipoma was 22.7 kilograms (kg), or . How Much Does Metformin Cost Without Insurance? can be anything from the size of a pea to a few centimetres across. It affects men about twice as often as women and usually develops in your 20s. They sometimes return if the surgery didnt remove the entire fibrous capsule around them. A lipoma is a non-cancerous fatty tumor. We avoid using tertiary references. A claim for cosmetic services does not need to be submitted to the Medicare carrier, unless the patient requests that the claim be Angiomyolipoma: Changes in Kidney Structure Caused By It, Causes, Symptoms, Treatment, Lipoma: Symptoms, Causes, Treatments, Herbal Remedies, Prognosis, Epidemiology, Lipomatosis: Causes, Diagnosis, Treatment, Spinal Epidural Lipomatosis: Causes, Symptoms, Treatment, Madelung Disease or Benign Symmetric Lipomatosis: Symptoms, Causes, Treatment, Risk Factors, Diagnosis, Epidural Lipomatosis: Causes, Symptoms, Treatment, Diagnosis. Here are some tips for spotting a lipoma: The price of lipoma surgery varies based on the size and location of the tumor. If your lipoma is considered a cosmetic reason, your insurance company may not cover the procedure. Excision is defined as full-thickness (through the dermis) removal of a lesion, including margins, and includes simple (non-layered) closure when performed. We are on a mission to help educate millions the benefits of weight loss surgery. A sample of the patients tissue (biopsy) is taken for the laboratory examination. If the lipoma is evident, you may need to take a few weeks off work. lucent health claims address; olaplex stock predictions; champions league 2008 09; does united healthcare cover lipoma removal. Charges should be clearly stated. Thus, exercise cannot shrink lipoma, but it does help reduce excess body weight and fight obesity, which is a major risk factor for lipoma. If not covered by insurance, the cost would depend on the size, depth, anatomic location, involvement of surrounding tissue, and surgeon expertise. They do not place any specific requirements on who you visit to have your surgery done through choosing an in-network surgeon significantly reduces your out of pocket costs. Review: eFinancing Solutions: Is It a Good Choice to Finance Your Bariatric Surgery? We do not offer every plan available in your area. It tends to appear on the shoulders, trunk, chest, neck, armpits, and thighs. During the procedure, a physician creates an incision in the area of the skin where the lipoma is located. However, there is another condition known as liposarcomas. To determine the scope of coverage, recipients should contact their plan providers. Just so you know, an insurance plan from one company will be different from the other. Hernia surgery costs with Medicare. This article may contains scientific references. If your dog becomes irritated by the lipoma, this is a reason to rethink having the mass surgically removed. If you have a suspected lipoma, its important to be able to differentiate it from other conditions that it could be similar to. Lipomas are benign, meaning theres no risk of them becoming cancerous. Liposarcomas or cancerous tumors in fatty tissues grow quickly, do not move under the skin and are usually painful. Guide to United Healthcare for prospective bariatric patients. The Sunny Health & Fitness Pro Cycling Exercise Bike is a sturdy bike for home workouts. In some cases OHIP will cover certain minor procedures, however the . From there, they will cut into the skin and remove the lipoma from the patient. Any information shared here is not medical advice. You cannot pop the lipoma yourself at home either. Copyright 2022 Bariatric Journal, All Rights Reserved. Having a lipoma removed can seem very overwhelming and scary, but its a small procedure that can make your life so much more comfortable. Standard HMO-based plans cover only the removal of partly or completely bone impacted teeth. It may help reduce the size of the lipoma. About 16% of dogs are affected Middle-aged to geriatric dogs are most predisposed. Many states will offer this procedure to be covered because they can become quite painful and considered a medical necessity depending on location and allowing a person to live in pain and discomfort all the time is not great. For either of the first two types, the lesions should be excised if there is a history of growth. Youll likely have some discomfort around the surgical site for a few days. 5.7k views Answered >2 years ago. A patient information handout about lipomas, written by the author, is provided on page 905. While most lipomas are considered harmless,liposarcomasare fatty growths beneath the skin that are both cancerous and fast-growing. Coelho RCP, et al. It is imperative that insurance companies utilize the available lipedema research and cover costs of the necessary treatments. Does Medicaid Cover Bunion Surgery? Best Gaming Laptop of 2022 with Cheap Price. If you have a BMI over 35, we do not believe you need to undergo bariatric surgery or take diet drugs to get covered. #2. Following lipoma removal procedures, medications may be prescribed to reduce pain and promote healing. We understand why so many people are asking about this. Lipoma surgery removes benign (non-cancerous) fatty tissue tumors through excision or liposuction, either for cosmetic reasons or to reduce pain. Medicare.Org Is Privately Owned And Operated By Health Network Group, LLC. They will also note any symptoms that warrant immediate medical attention (like a fever, nausea and even itching/skin irritation around the area). may move slightly under your skin if you press them. Removal of the lump (lipoma) for a definitive diagnosis is sometimes necessary, to ensure that the lump is not a type of tumor. A lipoma is usually harmless and does not usually need treatment. Lipoma removal surgery is covered by health insurance coverage, despite the fact that lipomas are usually harmless and most people get them removed for cosmetic reasons. We provide general wellness related information. See if you might be covered. They will close the wound with stitches (sutures) and thats the end of the procedure. In a new Instagram video posted Tuesday, dermatologist and TLC star Dr. Sandra Lee, MD-aka Dr. Pimple Popper-takes . 40,000 depending on various factors. 5. For patients who do have coverage that covers the expense of lipoma excision, we help make the insurance claim procedure easier. Lipomas consist mostly offat cells, but some types of lipomas may also contain blood vessels and body tissues. Understanding Weight-Loss Surgery: Is it for you? These considerations include the number, size, and location of the lipomas, the surgeons charge, the treatment approach employed, dangers, drugs, and so on. Medicare Part D is the prescription drug benefit of Medicare insurance, and it may cover the cost of medications that are prescribed in the process of healing and recovery after a lipoma removal. The documentation requirements outlined below are used to assess whether the member meets the clinical criteria for coverage but do not guarantee coverage of the service requested. Because lipomas are benign growths, insurance may or may not cover the cost of lipoma removal. Created for people with ongoing healthcare needs but benefits everyone. Learn how we can help. Generally, hernia surgery is covered by Medicare Part B (medical insurance) and is performed on an outpatient basis. Goldstein BG, et al. Ask your internist for some recommendations of surgeons near you and then go visit a few of them to see what they suggest.I hope that this helps and good luck,Dr. This article on Epainassist.com has been reviewed by a medical professional, as well as checked for facts, to assure the readers the best possible accuracy. The squeeze technique can help minimize scarring, but its often ineffective for larger lipomas. You are also not prone to having them happen again just because youve had one of them one time. During the procedure, a solution of phosphatidylcholine and sodium deoxycholate is injected into the affected areas, and the chemicals work to dissolve fat cells beneath the skin. Surgery is usually the only option for removing a lipoma completely. The cost of a lipoma removal is dependent on the complexity of your case. Lipoma. If you have a lipoma, you may be wondering if it is covered by insurance or not. Direct surgical excision involves making an incision over the lipoma, extracting the lipoma surgically, and then stitching the skin closed. The doctor may also request some imaging or diagnostic testing to be done so they can be sure their diagnosis is correct. In order for a procedure to qualify for coverage, it must be ordered by a medical professional for the purposes of treating a disease or threat to health and well-being. Smooth the ointment onto the lipoma. Intraoral excision of a huge cheek lipoma. We'll discuss the safety and effectiveness of techniques for lipomas and how they fit with Western, Feeling a hard lump under your skin? Following lipoma removal procedures, medications may be prescribed to reduce pain and promote healing. The removed lipoma may be sent to a lab and tested for cancer. Lipomas can occur at any age, but are more often detected in people, both men, and middle-aged women. Although the exact cause of lipomas is unknown, it is believed that a part of the disorder may have a genetic origin. Copyright 2020-22 Coverlipedemaco, Inc. All Rights Reserved. Will Your Stomach Stretch after Gastric Sleeve Surgery? 25,000 to Rs. However, it is critical to carefully follow the doctors directions. Lipomas are . Does insurance cover the removal of lipomas? (Opens in a new browser tab). At Coverlipedema.com we always recommend that our members have a detailed independent functional capacity evaluation or FCE to have a strong coverage request. Keep in mind that lipoma removal is a safe and relatively simple procedure, so the risks of not getting it removed are minimal. It is difficult to remove the entire lipoma with this technique. Learn which signs and, Acoustic neuromas are benign tumors that can form on the nerve between the brain and inner ear. Lipoma surgery is generally a safe procedure, but every surgery comes with some risks. Accidental Death and Dismemberment (AD&D) Insurance, How to Make an Insurance Adjuster Fearful. It has premium services t. Read More. A local anesthetic is injected around the lump to numb the area. The UHC coverage policy is also more restrictive than many of other insurer policies in regards to conservative treatment. During the procedure, a physician creates an incision in the area of the skin where the lipoma is located. The costs would even be covered if the person doesnt end up qualifying for lipoma removal afterwards. They usually dont require treatment, but your doctor may recommend surgery if a lipoma is causing you discomfort or bothering you cosmetically. How To Get Lipoma Removal Covered By Insurance? plastic surgery where the surgeries are covered, causing a great amount of pain and discomfort, allowing a person to live in pain and discomfort all the time is not great, Your Quick Guide To Long Term Care Insurance, C Section Scar Revision Covered By Insurance, Workers Compensation Vs. You may get another one at some point, but its not a guarantee once youve had one. When the latter is the case, surgery may be performed under anesthesia in an operating room. Proof that you have followed diets in the past, but have been unsuccessful at losing weight. What you need to know about Lipoma Removal in South Africa. Bariatric Journal is the leading bariatric surgery resource site for patients. If the lipoma removal is not covered, another alternative is to request a waiver from your insurance carrier. Frequently asked questions about lipoma surgery, radiopaedia.org/articles/familial-multiple-lipomatosis-1, med.umich.edu/1libr/Surgery/GenSurgery/LipomaOrEpidermalInclusionCyst.pdf, nhs.uk/common-health-questions/accidents-first-aid-and-treatments/how-should-i-care-for-my-stitches/, orthoinfo.aaos.org/en/diseases--conditions/lipoma, ncbi.nlm.nih.gov/pmc/articles/PMC9257308/, ncbi.nlm.nih.gov/pmc/articles/PMC6290305/, ncbi.nlm.nih.gov/pmc/articles/PMC5871633/, jaadcasereports.org/article/S2352-5126(21)00330-1/fulltext. The cost of most minor procedures at The Plastic Surgery Clinic range anywhere from $275-$350. Lipomas consist mostly of fat cells, but some types of lipomas may also contain blood vessels and body tissues. Injection lipolysis, or chemically reducing the number of fat cells with an injection, is another option that may reduce scarring. They issued a coverage policy for liposuction for lipedema that is effective on October 1, 2021. A lipoma is a non-cancerousfatty tumor. L]N@Z"!"9?6.fb9BxaER3f.s? Some states have laws requires that insurance companies do cover weight loss procedures, so depending on where you live, your policy may exclude it, but if your state mandates it, they are required to cover it. We are proud to be a part of helping women regain their function, reduce their pain and live fulfilling lives with their families and friends. does united healthcare cover lipoma removal. They issued a coverage policy for liposuction for lipedema that is effective on October 1, 2021. During the procedure, a solution of phosphatidylcholine/sodium deoxycholate is injected into the affected areas, and the chemicals work to dissolve fat cells beneath the skin. Submit a claim to your insurance company. In June of 2021, UnitedHealthcare (UHC) settled a class-action lawsuit alleging that it failed to cover lipedema. In June of 2021, UnitedHealthcare (UHC) settled a class-action lawsuit alleging that it failed to cover lipedema. Use a dressing to cover for at least 36 hours. A skin tag (arochordon) is a benign, soft, moveable, skin-colored growth that hangs from the surface of the skin on a thin piece of tissue called a stalk. Read More. In addition, liposuction surgery is a useful modality for the removal of lipomas because of the low recurrence rate and minimal malignant potential of these tumors. Local anesthesia is when a surgeon injects medication around the lump to numb the area. . You may have a small amount of swelling. The benefits of liposuction are decreased surgical time, a shorter scar, a better final contour, and the ability to remove several lipomas through one opening. Most lipomas are harmless, but people get them removed because of cosmetic and comfort reasons. It is considered as benign (noncancerous). For most people, this procedure will be done on an outpatient basis so there wont be any hospital stays or major surgeries done. does united healthcare cover lipoma removal. Medicare Part A covers costs for inpatient hospital care, while Part B covers most outpatient and What is the difference between Medicare and Medicaid? Among these, obese adult female dogs are . Severe bleeding from the surgical area (minor bleeding is normal). We generally do not recommend seeing a vascular specialist because they tend to recommend vascular procedures before recommending lipedema surgery. Oral surgeons can perform operations on your jaw for many different reasons, and some fit the coverage criteria exactly, not at all, and somewhere . Its not completely understood why lipomas develop, but about two-thirds of lipomas have gene abnormalities. Lipomas are fatty lumps that develop slowly in the area between the underlying muscle layer and the skin. Weight Wise Oklahoma City: Reviews, Costs 2022, WakeMed Bariatric Surgery Delivers Promising Results To Patients: Reviews, Costs 2022, UT Health Tyler Bariatric Center: Making You Feel Better: Reviews, Costs 2022, Tufts Weight and Wellness Centre: Reviews, Costs 2022, Protein Intake after Bariatric Surgery How to Get Enough Protein, Bariatric Surgery Certifications, Credentials Explained, 10 Things Your Doctor Wont Tell You About Weight Loss Surgery. Bariatric Journal is the leading bariatric surgery resource site for patients. Our review Top 10 Best Medicare Supplement Insurance Companies. This condition consists of fatty lumps that develop in the layer between the muscle and the skin. However, because lipomas are usually not considered harmful to an individual's overall health, obtaining Medicare coverage for lipoma removal procedures can be a bit challenging. They can grow anywhere in the body but are usually more common on the trunk and extremities. Lipoma removal surgery that is covered by Medicare is typically approved on an outpatient basis. Any information we provide is limited to those plans we do offer in your area. However, because lipomas are usually not considered harmful to an individual's overall health, obtaining Medicare coverage for lipoma removal procedures can be a bit challenging. Accessed Dec. 22, 2017. Most lipomas dont need to be removed. Botulinum toxin injections (or "Botox") - Injections used to treat muscle disorders, like spasms and twitches. Treatments for lipoma include are: Surgical Removal: Given its size and location just under the skin it is usually easy to remove a lipoma. Have the procedure done at a teaching hospital. One method is to make a small cut in the skin and then squeeze out the lipoma. Your healthcare provider will make an incision in your skin and remove the lipoma. So, we do not recommend traveling to these states for surgery. Injection lipolysis is a common body contouring treatment to help dissolve fat for a slimmer appearance. However, there are a few ways that you can get the procedure covered. There is a theory that trauma to the soft tissue in the area may play a role in their development. Treatment is not usually necessary, but if the lipoma is present in an annoying or conflicting area it can be painful or increase in size during its evolution, it is possible that the patient decides to remove it. The texture presented by the tumor mass is variable, and not very pleasant to palpate. What to expect before surgery for a lipoma or epidermal inclusion cyst. Liposuction as a treatment for lipomas, as part of a breast reduction or as part of a larger reconstructive surgery is often covered. Lipomas arefatty lumpsthat develop slowly in the area between the underlying muscle layer and the skin. If the patient does not want to wait any longer or have private medical insurance, the patient can make an appointment with specialists who will study the case and can perform the surgery to remove the lipoma in a short time. They: feel soft and squishy. I believe A lipoma is a fatty growth usually separate than your normal natural fat. Lipomas aren't cancer and don't turn into cancer. One of the questions we have received about Lipoma. GOHAR A. SALAM, M.D., D.O. This must be proven in the medical documentation for at least six consecutive months or two plans of three months each. Part B includes coverage for medically necessary services and supplies in a . If a physician is concerned about the possibility of liposarcoma, they may order diagnostic imaging tests and biopsies to rule out or diagnose the disease. Tumors can also cause discomfort and pain upon movement or when they press against nerves throughout the body. Lipoma are categorized as follows: While lipomas are not typically harmful, they can sometimes cause problems if they grow too large. Lipoma removal is usually a simple procedure. Lemon Juice. Untreated for 20 years: A 14 kilogram subcutaneous lipoma. Liposuction. However, there are some exceptions to this rule. Use an Read More, All you need to know about Telenor Internet Packages Daily2 Day3 DaysWeekly15 DaysMonthlyPostpaidImportant CodesFAQs Telenor is a major telecom corporation Read More, All About Monthly, Weekly & Daily Telenor SMS Packages Are you searching Telenor Package? Steroid Injections: This treatment reduces the lipoma, but usually does not completely eliminate the tumor. Vein ablation - Surgery to close off veins. Once an insurer has a coverage policy, you cannot expect to pay upfront and submit a claim later. There's a very small chance that a lump resembling a lipoma may actually be a form .
Plainville, Ma Police Scanner,
For Rent By Owner Port St Lucie,
Ruppert Plaza Garage Parking Rates,
Eisenhower High School Football Roster,
Outdoor Corporate Box Adelaide Oval,
Articles D
does united healthcare cover lipoma removal