Under BlueCross BlueSheild Carefirst program, can Breast Reductions not be deemed medically necessary until post op evaluation?

November 10, 2014
Asked By:qrs123 in Maryland Heights, MO

About a year and a half ago my plastic surgeon submitted my request to insurance and it got approved removing 300g. I didn't go through with it, but when I went back now it had expired. At my consultation a few months ago my plastic surgeon said that she would submit another request. Today I called the insurance office and the woman told me that insurance does not approve any amount to be removed. She said that everything is post op and that they would examine if it was medically necessary then.

Answers (6)

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December 18, 2014

Answer: Insurance Coverage

James E. Murphy, MD, FACSBoard Certified Plastic Surgeon
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MOST RECENT
December 18, 2014

Answer: Insurance Coverage

James E. Murphy, MD, FACSBoard Certified Plastic Surgeon
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November 17, 2014

Answer: Blue Cross Blue Shield

David A. Caplin, MDBoard Certified Plastic Surgeon
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November 17, 2014

Answer: Blue Cross Blue Shield

David A. Caplin, MDBoard Certified Plastic Surgeon
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November 11, 2014

Answer: Reduction should be predetermined

M. Scott Haydon, MDBoard Certified Plastic Surgeon
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November 11, 2014

Answer: Reduction should be predetermined

M. Scott Haydon, MDBoard Certified Plastic Surgeon
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November 10, 2014

Answer: Under BlueCross BlueSheild Carefirst program, can Breast Reductions not be deemed medically necessary until post op evaluation?

Tom J. Pousti, MDBoard Certified Plastic Surgeon
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November 10, 2014

Answer: Under BlueCross BlueSheild Carefirst program, can Breast Reductions not be deemed medically necessary until post op evaluation?

Tom J. Pousti, MDBoard Certified Plastic Surgeon
Book a virtual consultation
November 11, 2014

Answer: Insurance

November 11, 2014

Answer: Insurance