Breast Reduction: Q&A
Ask a QuestionWill Blue Cross / Blue Shield Cover a Breast Reduction?
i'm 5'3 and weigh 170 lbs. my breast size is an E.
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7 Doctor Answers |
Asked by
mstj
in Wichita, KS
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Insurance coverage for breast reduction - los angeles
Hello and thank you for the question.
Your insurance carrier may indeed cover your breast reduction surgery. You will need to go to your plastic surgeon's office and obtain a pre-authorization for the procedure. Your physician will typically need to write a letter of necessity to the carrier along with providing photographs. They will then provide a response, delineating the amount of coverage, if any, for the procedure.
Best of luck,
Glenn Vallecillos, M.D., F.A.C.S.
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Insurance coverage for breast reduction surgery
Insurance coverage is a fickle thing. The only way to know for sure is to be evaluated by a plastic surgeon. At this time a pre-approval letter will be sent. The insurance company reviews the information and magically make a medical decision whether or not they intend to cover the procedure. It is not always a fair or just decision. From your description you seem to be a good candidate for the operation and would get symptomatic relief from your large breasts.
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Breast Reduction and Insurance Coverage?
Thank you for the question.
Based on your description you may be an excellent candidate for breast reduction surgery; it is one of the most patient pleasing operations we perform and an operation that is sometimes covered by health insurance companies.
The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist,...
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Breast Reduction - Will Blue Cross / Blue Shield Cover a Breast Reduction?
Hi mstj,
Probably, but no way to say for sure without knowing more, and without going through the whole process.
There are many issues with respect to insurance (you can always pay for the surgery on your own, but that may not be necessary. Or desirable!). Each insurance company is different, and each has its own rules with respect to "coverage." You'll first have to contact your company to make sure it's covered, and then you have to find a...
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Breast reduction
The type of blue cross will depend on the requirements for getting insurance coverage for breast reduction. You will have to check with you plan
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Breast reduction and insurance coverage
Given your height and weight and E cup breast size I believe your insurer will probably cover the breast reduction. Your surgeon will have to obtain preauthorization from Blue Cross or Blue Shield. The authorization process may take a few weeks and the insurer will probably request preoperative photos of your breast to determine eligibility. In my office, we work with insurance companies on a regular basis to get this procedure covered and we are usually...
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Blue Cross/Blue Shield covering a breast reduction
It is very possible that your insurance may cover your surgery. What you can do on your own is contact your insurance and ask if it is a covered procedure. BC/BS has many different types of policies, some have exclusions and some don't. If you find out that it is a covered procedure for your policy, you then need to have a consultation with a Board Certified Plastic Surgeon. Your surgeons office should be able to help you go through the steps to get pre-authorization for your surgery....
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San Francisco Plastic Surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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