Breast Reduction and Insurance coverage

Michael A. Bogdan, MD answers: Why is the doctor charging extra if breast reduction is covered?

My breast reduction was approved by Tricare. Doctor is charging me $3,500 for a breast lift and nipple reduction. Aren't breast lift and nipple reduction part of breast reduction? Should I pay extra? Should it be included? What should I do? Thank you.


Michael A. Bogdan, MD
15 days ago

A breast reduction is one of the most labor intensive procedures that plastic surgeons perform, and it takes a significant amount of time (both in the operating room and for aftercare visits) to do correctly.  Insurance reimbursement is not consistent with the amount of work involved, and with some carriers, it is actually insulting.  Because of this, it is difficult to find a senior plastic surgeon who will accept insurance payment for a breast reduction.  As was suggested above, you need to review the fees with your surgeon to understand why additional charges are planned (areola reduction and lift are part of a breast reduction...)

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