Fat Transfer: Q&A
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Does Insurance Cover Fat Grafting to Improve Implants Post-breast Cancer?
Had exchange surgery three weeks ago and implants can be seen due to thin skin. My PS suggested fat grafting to improve look and contour. Does insurance cover this procedure? I would love to have this procedure, but cannot pay the high costs associated with process. Thank you, rrhann
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5 Doctor Answers |
Asked by
rhann
in CT
+2
Insurance coverage for fat injections
Make sure that the doctor who will follow you for the breast cancer agrees that you can have fat injections as some controversey exists about its safety in the breast.If your doctor clears it, you could have the plastic surgeon write a letter of medical necessity requesting preapproval to the medical director of the insurance carrier and see what response you receive.
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Insurance Coverage for Fat Grafintg to Breasts post-cancer
"Coverage" is a difficult word to define. Of course, post-mastectomy reconstruction is and should be a "covered" procedure but that doesn't mean that you can (necessarily) go to any surgeon you want and have the surgery paid-for. You have to work with your insurance company to find such a surgeon.
Fat grafting is a relatively new procedure and, as such, there may be some resistance to having the procedure "covered." Your best bet is to work with your plastic surgeon to...
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Breast Reconstruction Fat Grafting Insurance Coverage issues
Theoretically your insurance is required to cover all breast reconstruction required following breast cancer surgery. The problem is that fat grafting is a new technique and may be considered "experimental" by your insurance company. A strong letter of necessity with pre-authorization from the company is suggested.
Here are the facts of the current federal law:
Women's Rights for Breast Reconstruction Following Mastectomy
The Federal Women's Health and Cancer Rights...
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Fat grafting to reconstructed breasts is covered by insurance
Indeed fat grafting is covered by insurance for breast reconstruction. It is a standard part of my practice and the majority of my patients who undergo breast reconstruction receive fat grafting. It is an ideal technique to improve contour and create a natural looking breast.
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Insurance Coverage of Fat Grafting to the breasts
Breast Reconstruction has changed significantly in the past 10 years but insurance company reimbursement has not.
Let's leave aside the potential merits of fat grafting in a reconstructed breasts and potential trade offs. Assuming your contract with your insurance company does have coverage for Breast Reconstruction (after all they did pay for breast reconstruction and ?expander/?implant exchange), this does not mean that they will pay for every procedure on the market. If the...
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