Will Blue Cross / Blue Shield Cover a Breast Reduction?

asked 1 year ago by mstj in Wichita, KS
Latest answer by Tom J. Pousti, MD
Question viewed 386 times
Tags: 170-189 lbs, 5 ft 0 in to 5 ft 3 in, Blue Cross/Blue Shield, E cup, insurance

i'm 5'3 and weigh 170 lbs. my breast size is an E.

6 answers to Will Blue Cross / Blue Shield Cover a Breast Reduction?

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. more

Glenn Vallecillos, MD
Beverly Hills Plastic Surgeon

www.BeverlyHillsCosmeticSurgeon.com

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,... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

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... more

Alan Engler, MD
New York Plastic Surgeon

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

David L. Abramson, MD
New York Plastic Surgeon

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... more

Vincent D. Lepore, MD
San Jose Plastic Surgeon

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.... more

Miguel Delgado, Jr., MD
San Francisco Plastic Surgeon

www.dr-delgado.com

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