I am 19, 5'4", 125 pounds, wear a 32G and am considering breast reduction. My neck and shoulders are always tight, my posture is bad, I have indents in my shoulders from my bra straps, and have terrible self confidence because of it. I also have trouble finding clothes that fit. Do you think my breast reduction could be covered by insurance?
Answer: Breast Reduction and Insurance Coverage?
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CONTACT NOW Answer: Breast Reduction and Insurance Coverage?
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CONTACT NOW Answer: Does Insurance Cover BR Surgery? Unfortunately, each insurance company has their own criteria. 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 through insurance criteria are becoming more and more restrictive
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CONTACT NOW Answer: Does Insurance Cover BR Surgery? Unfortunately, each insurance company has their own criteria. 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 through insurance criteria are becoming more and more restrictive
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November 5, 2012
Answer: Breast reduction coverage Based on your numbers, you would be a candidate for breast reduction surgery. However, check with your insurance company (many have online sites with detailed information, by procedure) as to whether and how much documented conservative management, including physical therapy, chiropractic, pain medication, etc., would be required to support your request for coverage.
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CONTACT NOW November 5, 2012
Answer: Breast reduction coverage Based on your numbers, you would be a candidate for breast reduction surgery. However, check with your insurance company (many have online sites with detailed information, by procedure) as to whether and how much documented conservative management, including physical therapy, chiropractic, pain medication, etc., would be required to support your request for coverage.
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September 21, 2016
Answer: Breast Reduction and Insurance Coverage Greetings. Just listening to your symptoms of neck pain, shoulder pain, bra strap grooves, self confidence and issues finding clothes that fit....as well as your body dimensions and bra size....I think you would be a great candidate for a breast reduction. Out of all the surgeries that are performed by plastic surgeons- breast reduction surgery has the highest patient satisfaction. Many insurance companies use something that is called the Schnur score. Using your body weight and height- your body surface area can be calculated. Depending on your body surface area- there is a scale which is called the Schnur score and dictates the amount of breast tissue that a plastic surgeon would need to remove, in order for your insurance to cover the surgery. In addition to this information, your insurance company may also want to have documentation from other providers such as your PCP, Ob/Gyn, Physical therapist or Chiropractor. All insurance companies are slightly different and there are some insurance companies or insurance policies who do not even cover breast reduction surgery. My advise would be to see a board certified plastic surgeon and once they evaluate you- they will try to put your case through your insurance company. You can also get in touch with your insurance company and see if breast reduction surgery is covered.
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September 21, 2016
Answer: Breast Reduction and Insurance Coverage Greetings. Just listening to your symptoms of neck pain, shoulder pain, bra strap grooves, self confidence and issues finding clothes that fit....as well as your body dimensions and bra size....I think you would be a great candidate for a breast reduction. Out of all the surgeries that are performed by plastic surgeons- breast reduction surgery has the highest patient satisfaction. Many insurance companies use something that is called the Schnur score. Using your body weight and height- your body surface area can be calculated. Depending on your body surface area- there is a scale which is called the Schnur score and dictates the amount of breast tissue that a plastic surgeon would need to remove, in order for your insurance to cover the surgery. In addition to this information, your insurance company may also want to have documentation from other providers such as your PCP, Ob/Gyn, Physical therapist or Chiropractor. All insurance companies are slightly different and there are some insurance companies or insurance policies who do not even cover breast reduction surgery. My advise would be to see a board certified plastic surgeon and once they evaluate you- they will try to put your case through your insurance company. You can also get in touch with your insurance company and see if breast reduction surgery is covered.
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December 11, 2013
Answer: Insurance Coverage? Every insurance plan has their own unique criteria on whether they will cover a breast reduction. More and more, we are seeing plans where a breast reduction is not a covered benefit. If it is a covered benefit, some insurance plans set a minimum required amount of tissue to be remove in order to met their threshold for coverage. Some set the amount in relation to your BMI (height and weight). Others require extensive medical records documenting neck pain, back pain, and history of rashes. The other alternative is to opt for a breast reduction as a self-pay option. Start by visiting with a board certified plastic surgeon to learn more about your options.Best wishes,Dr. BasuHouston, TX
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December 11, 2013
Answer: Insurance Coverage? Every insurance plan has their own unique criteria on whether they will cover a breast reduction. More and more, we are seeing plans where a breast reduction is not a covered benefit. If it is a covered benefit, some insurance plans set a minimum required amount of tissue to be remove in order to met their threshold for coverage. Some set the amount in relation to your BMI (height and weight). Others require extensive medical records documenting neck pain, back pain, and history of rashes. The other alternative is to opt for a breast reduction as a self-pay option. Start by visiting with a board certified plastic surgeon to learn more about your options.Best wishes,Dr. BasuHouston, TX
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