If your breast reduction gets approved your insurance company will cover the cost of your surgery assuming you dont deviate from the pre-approved plan. You must have the mandatory number of grams of tissue removed from each breast by an in-network physician at a facility that participates in the particular plan for which youre covered.
Does Insurance Cover Breast Reductions Plastic Surgery
70113 surgical Treatment of Bilateral Gynecomastia Reduction Mammaplasty Description Macromastia or gigantomastia is a condition that describes breast hyperplasia or hypertrophy.
. March 2012 Related Policies. The presence of symptoms related to your large breast size such as neckbackshoulder pain are important in showing medical necessity which it sounds like you have from your description. July 1 2020 Original Policy Date.
Macromastia may result in clinical. Every insurance company has different independent criteria and indications. FEP 70121 Reduction Mammaplasty Effective Policy Date.
Once you have contacted your insurance carrier you should consider scheduling a consultation or two with a board certified plastic surgeon to review your candidacy for the procedure and. How to get a breast reduction covered by insurance blue cross blue shield. Your best bet would be to begin by calling your insurance carrier and inquiring as to what your benefits are and what would qualify you for breast reduction insurance coverage.
If you feel that you are a candidate for breast reduction surgery and are requesting coverage under your health insurance it is important that you contact your health insurance carrier and have them forward to you in writing their criteria for coverage. In order for members to receive 100 coverage for breast pumps please ensure the following.
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