Forget about the osteoporosis

Kenneth R. Francis, MD answers: BCBS insurance coverage for Breast Reduction and Panniculectomy?

Is there any way that BCBS would cover a breast reduction and a panniculectomy for the purpose of relieving osteoperosis? Can these surgeries be tied into a mental health issue? I have a 25-pound pouch that hangs lower than my hooha, itches, and my breasts are down to my belly button. I've had lapband surgery but wasn't successul. I have maintained the same weight for 2 1/2 years now, losing the same 10 pounds over and over. I'm stable. I just want the fat cut off (a mini tuck?) and the boobs cut off to alleviate pain and more loss of bone density due to the extra weight tugging on my spine.


Kenneth R. Francis, MD
24 days ago
By Kenneth R. Francis, MD - Manhattan Plastic Surgeon

No insurance will cover reduction surgery, breast or abdominal, on the basis that it will alleviate osteoporosis.  The fact is, osteoporosis is not caused or worsened by large breasts or an abdominal pannus.  Concentrate more on the pain and rashes in your quest for insurance coverage.  There are several plans within BCBS, some of which may cover your procedures and some of which may not.  Consult with a board certified plastic surgeon who can take photographs and pre-authorize/pre-certify your surgery with the insurance carrier.  This way you will for sure whether coverage is available.  A call to your insurance plan may also provide you with coverage information.  Good luck!

Helpful?

Request info from Dr. Francis

Special offers
Tribute to our Troops
Free breast implants and discounted cosmetic surgery to spouses of our active troops overseas. Contact me for details.
Never expires
Offers don't imply eligibility for a medical procedure. All applicable federal, state and local laws apply. Void where prohibited.
50 words maximum (0 words entered)
Your info is protected by our privacy policy
More answers to “BCBS insurance coverage for Breast Reduction and...”

A: Insurance coverage for pannus and breasts

Steven Wallach, MD
24 days ago
By Steven Wallach, MD - Manhattan Plastic Surgeon

Insurance will sometimes cover breast reductions and pannus excisions for select conditions. For the breasts if there is documented symptoms and conservative treatment failure it may be possible.  For the pannus, if there is a documented history of infections or rashes not amenable to conservative treatment, this may be covered

Helpful?
Contact the doctor
Back to “BCBS insurance coverage for Breast Reduction and...”
Post your question
Email to friend
Permalink

Breast reduction before & after photos

Breast reduction with Liposuction
View all 140 photos

Breast reduction doctor answers

Post your question
IMPORTANT: As noted in our Terms of Service, the information found on RealSelf.com, including that provided by professionals in the Questions & Answers area, is a general educational aid. The Questions and Answers contain opinions and views created by community members. RealSelf.com is not responsible for the accuracy of any information posted by community members. Do not rely on this information as a substitute for personal medical or healthcare advice, or for diagnosis or treatment purposes.