I'm 28 and I have Medicaid but I was wondering if a Breast reduction would be covered. I have one breast that measures as an EE and the other as a DDD and it looks very weird in clothing I'm stuffing one side of my bra and I have deep grooves in the shoulders with horrible back pain.
Answer: Breast Reduction Hello and thank you for your question. Many health insurance companies cover breast reduction surgery. Call your carrier and see if this is a covered benefit under your plan. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!
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CONTACT NOW Answer: Breast Reduction Hello and thank you for your question. Many health insurance companies cover breast reduction surgery. Call your carrier and see if this is a covered benefit under your plan. Schedule a consultation with a board certified plastic surgeon to discuss your options. Best wishes!
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CONTACT NOW November 20, 2015
Answer: Breast Reduction: insurance coverage benefits for you Breast Reduction: insurance coverage benefits for youWhen the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain.Medicaid is very difficult for approvals
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Answer: Breast Reduction: insurance coverage benefits for you Breast Reduction: insurance coverage benefits for youWhen the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain.Medicaid is very difficult for approvals
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November 26, 2012
Answer: Breast reduction
Insurance, medicare, and medicaid usually pay for reductions of this size.
When you go for your initial consultation your surgeon should be able to answer the question with more assuredness.
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CONTACT NOW November 26, 2012
Answer: Breast reduction
Insurance, medicare, and medicaid usually pay for reductions of this size.
When you go for your initial consultation your surgeon should be able to answer the question with more assuredness.
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June 20, 2012
Answer: Insurance Coverage for Breast Reduction
Insurance Criteria for approval for Breast Reduction varies from insurance company to insurance company but from your photos and description I believe that Medicaid will cover this procedure for you. Contact Medicaid and request their specific Criteria. Here is some general information however to help you :Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.
This procedure is commonly covered by insurance though insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses
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CONTACT NOW June 20, 2012
Answer: Insurance Coverage for Breast Reduction
Insurance Criteria for approval for Breast Reduction varies from insurance company to insurance company but from your photos and description I believe that Medicaid will cover this procedure for you. Contact Medicaid and request their specific Criteria. Here is some general information however to help you :Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.
This procedure is commonly covered by insurance though insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses
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October 16, 2011
Answer: Insurance coverage for reduction of EE breasts Some Medicaid intermediaries will cover breast reduction. Generally, the larger the breasts, the more likely insurance carriers will be to pay for the surgery. Their requirements for conservative medical management are waived in cases which require removal of over 1000 grams of tissue per breast. I do not recommend that you call the insurer to inquire because the personnel who respond to patient calls are not in the medical management department and regularly provide misleading information. See a board certified plastic surgeon and let his staff go through the formal pre certification process on your behalf.
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Answer: Insurance coverage for reduction of EE breasts Some Medicaid intermediaries will cover breast reduction. Generally, the larger the breasts, the more likely insurance carriers will be to pay for the surgery. Their requirements for conservative medical management are waived in cases which require removal of over 1000 grams of tissue per breast. I do not recommend that you call the insurer to inquire because the personnel who respond to patient calls are not in the medical management department and regularly provide misleading information. See a board certified plastic surgeon and let his staff go through the formal pre certification process on your behalf.
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