Breast Reduction: Q&A
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Insurance Companies and Hospitals That Cover Breast Reduction?
I would like to know what insurance covers breast reduction and which hospitals? I am 20 years old, my weight is 148lbs. 5"3, and im a 42DD.
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9 Doctor Answers |
Asked by
sindy
in bronx ny
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Breast Reduction and Insurance Coverage?
Thank you for the question.
It will probably be easiest for you to check with your local community hospitals regarding insurance companies that typically cover breast reduction surgery. You'll be able to check each insurance companies policies prior to applying for the insurance company coverage. Be prepared to be persistent with insurance companies; their criteria for breast election coverage seem to become more strict all the time.
Best wishes.
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Insurance coverage for breast reduction.
First, check with your insurance provider to see if they cover breast reduction surgery at all, and if so, what the criteria for coverage are. These will be listed in your information packet, or will be available if you ask. For most insurance companies, these criteria are now quite similar, and most are based on your height and weight (not just subjective complaints of back pain, neck pain, bra strap grooves, rashes under the breasts, and possible numbness from bra strap pressure on...
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Insurance and breast reduction
Each insurance company criteria for approval of a breast reduction varies. If you do not have insurance, call some insurance companies to find out their policy.
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Insurance coverage for breast reduction
Our breast reduction patients are some of our happiest patients. They appreciate their new look and literally have had a significant weight taken off their shoulders. As you know, some insurance policies may cover this procedure. However, it depends on the insurance policy and the insurance company. In our practice, we have seen many insurance companies do everything possible to avoid paying for medically necessary procedures such as a breast reduction. If you are not able to have your...
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Insurance coverage for breast reduction.
Insurance Coverage for Breast Reduction
Answer by George J. Beraka, MDManhattan Plastic Surgeon80% of breast reduction questions on RealSelf are about insurance coverage. Here are some helpful points.
1) Insurance companies try very hard not to pay for breast reduction, even though they should. Even small breast reductions relieve many symptoms such as back pain and shoulder pain, and even some types of headaches.
2) Very big reductions (like from an F cup to a C cup) will usually be...
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Insurance coverage and breast reduction
Most insurances will cover breast reduction although there has been a growing trend not to do that. Also, each has its own criteria for which coverage is allowed. If you have insurance that covers a reduction and if you meet their criteria, you will be able to bill the surgery through the insurance for the facility and for the surgeon if the surgeon takes insurance.
Please realize that many of the more experienced surgeons are no longer taking insurance because they only pay a tiny...
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Insurance Coverage for Breast Reduction
Most insurance companies cover breast reduction procedures. The criteria for each insurance company varies widely. Most companies consider your weight, height, breast size, anticipated amount of tissue that will be removed and any musculoskeletal symptoms you may have. If you have insurance, the first step is to contact your insurer and ask what their coverage criteria are. They can also tell you which hospitals and physicians participate in your health care plan.
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Many insurance companies cover breast reduction
Sindy,
We have thousands of insurance companies in the US. Because of stringent underwriting rules, NY has less insurance companies than other states but the number will be in the hundreds.
To complicate matters, the insurance game resembles a poker game. Much like holding cards, each hospital or hospital group negotiates yearly which set of insurance plans (cards) it will work with and which it will stop taking. Doctors for their part review the benefits and often which insurance companies...
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Insurance Coverage of Breast Reduction
Most insurance companies would probably cover your reduction. They usually look at the symptoms in relation to your body weight and the estimate of tissue to be removed. You can check the ASPS and ASAPS websites for a board-certified plastic surgeon in the NYC area.
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