Insurance coverage for tuberous breast reconstruction?

I noticed only one doctor addressed the insurance coverage for "snoopy" or "tuberous" breasts. Is it common for most insurance companies to pay for the correction? Which insurance provider would be the best choice?

Any recommendations for surgeons in Colorado that are experienced with this condition? Thank you!

3 answers to “Insurance coverage for tuberous...”

A: Insurance coverage for tuberous breast

Tracy M. Pfeifer, MD

In New York, insurance companies will not cover tuberous breast. I have tried many times to get it covered as it is a congenital anomaly, with no success. Every state is different but the likelihood it is covered in Colorado is probably low. The best way to find a plastic surgeon with expertise in this area is... more

A: Insurance companies tend not to cover tuberous breasts

Otto Joseph Placik, MD

I have had numerous cases of severe tuberous breast deformity aka constricted breasts denied by third party payors despite strong documentation and supporting letters from counselors, pediatricians, physical therapists, etc.  

A: Less and Less Are Covering

John P. Stratis, MD

In Pennsylvania the experience has been that less and less insurance companies have been covering the correction of these deformities.  There is a better chance for coverage when you are younger rather than waiting until later in life. In addition severe, deformity that is unilateral will be more likely... more

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