Will insurance cover revision for uneven Breast reduction results?

I had a Breast reduction done many years ago and have very painful scar tissue as a result of it. My breasts are also 2 VERY different sizes where do you find a bra with a B cup and a C cup : (

Will my insurance pay for this disaster to be corrected?

Read my review "Surgery gone bad."

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11 answers to “Will insurance cover revision for...”

A: Unbalanced Breast Size

Lavinia Chong, MD

Please check the eligibility requirements of your insurance plan first.  These are usually posted on their website and include the Company's rules on how many grams (weight) per side should be resected, as well as their recommendations on whether you have "failed" conservative therapy (such as... more

A: It depends on your insurance

David A. Robinson, MD

Coverage of breast reduction revison depends on your insurance.  You will most likely have to have your plastic surgeon submit pictures along with a letter of medical necessity to obtain preapproval. Good luck.

A: Breast Reduction Revision

Farbod Esmailian, MD

It really depends on your insurance, some will and some wont.  It just depends on who reviews the preauthorization paper work.  You plastic surgeon will have to take pictures and submit it to the insurance company to see if they approve the surgery.  I would likley say they will not. 

A: Check with your insurance plan first

George Marosan, MD

It is important to check with your plan first if this type of revisional surgery is coverd. Next would be to find a plastic surgeon who participates in your plan. The other option is to have the surgery done by an experienced plastic surgeon, even though he/she might not be on your plan. He/she can still... more

A: Find a plastic surgeon who works with insurance

Michael C. Edwards, MD

    After being seen by a plastic surgeon who accepts your health care plan, they would make a decision as to whether this could be submitted to the carrier for coverage. You may also need to be referred to your plastic surgeon by your primary care manager if you have an HMO type plan. There... more

A: No Rhyme or Reason

Kenneth R. Francis, MD

Mkw, Unfortunately, there is almost no rhyme or reason as to what insurance carriers will or will not cover.  It depends on what state you are in, what insurance carrier you have, what your specific plan is and sometimes who picks up the phone when you call for authorization.  It's that ridiculous... more

A: It all depends on your insurance.

David Shafer, MD

 It really depends on your insurance policy, however, if it is a complication from a previously covered surgery, then you may have a good chance for coverage.  You will likely need to see the surgeon and have them write a letter to your insurance company to get pre-authorization for the procedure.... more

A: Insurance to cover breast revision surgery?

Steven Wallach, MD

It is difficult to tell you whether or not your insurance company will pay for revision surgery of your asymmetry.  They may pay for scar revision if  your scars are truly painful and enlarged.

A: Hard to say

Robin T.W. Yuan, MD

It doesn't hurt to ask or to try but I doubt it. Some insurance companies will cover reductions and mastopexies under specific conditions so you may get an authorization for the procedure. But be prepared for the insurance company to refuse to pay once they review your surgery, pathology, and photos.... more

A: Insurance coverage after previous reduction

Barry H. Dolich, MD

They MIGHT. A strong letter by your surgeon , accompanied by photos,emphasizing the functional aspects of your situation is the place to start. Focusing on the scar revision can help gain approval.

More answers to Will insurance cover revision for uneven Breast reduction results?
Ogden - Your insurer will decide what is a covered procedure

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