My breasts are small and extemely saggy.(After breastfeeding 3 children) They are literally only hanging skin. When I wear a bra they kind of just roll/crumple up into the bra. It is causing me to have weepy,oozing painful areas on my areolas from the skin rubbing on skin. Is it possible that insurance might cover a lift, no implants or anything, just to remove some of the extra loose skin, since it is causing me sores and pain? Or are they likely to call it cosmetic? Thank you very much?
Answer: Insurance Coverage for Ptotic Breasts
Thank you for the question.
It is extremely unlikely that insurance companies will cover breast lift surgery for any reason. You are correct in that it would be considered cosmetic surgery, and not "medically necessary".
Based on your description, it sounds like you have a relatively severe degree of breast ptosis. Please make sure your consulting with well experienced board-certified plastic surgeons.
Best wishes.
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Thank you for the question.
It is extremely unlikely that insurance companies will cover breast lift surgery for any reason. You are correct in that it would be considered cosmetic surgery, and not "medically necessary".
Based on your description, it sounds like you have a relatively severe degree of breast ptosis. Please make sure your consulting with well experienced board-certified plastic surgeons.
Best wishes.
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CONTACT NOW November 12, 2011
Answer: Rash under the greats
Whether your insurance will cover to cost of great lift because you have an intertriginous rash is doubtful but you never know. It is worth calling your insurance company and trying to get surgical per authorization with a letter and photos sent by your surgeon to the insurance company. It doesn't cost anything to ask, but the odds are that it would not be covered. Good luck!
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Answer: Rash under the greats
Whether your insurance will cover to cost of great lift because you have an intertriginous rash is doubtful but you never know. It is worth calling your insurance company and trying to get surgical per authorization with a letter and photos sent by your surgeon to the insurance company. It doesn't cost anything to ask, but the odds are that it would not be covered. Good luck!
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November 8, 2011
Answer: Unlikely insurance will cover
I have tried in the past to obtain pre-determination for a breast lift that is non cancer related and was unsuccessful. It is highly unlikely your breast lift would be covered by insurance. See several surgeons however and you might find someone sympathetic to your needs and offer you an excellent price for your surgery because of your need. I know I have done that in the past.
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Answer: Unlikely insurance will cover
I have tried in the past to obtain pre-determination for a breast lift that is non cancer related and was unsuccessful. It is highly unlikely your breast lift would be covered by insurance. See several surgeons however and you might find someone sympathetic to your needs and offer you an excellent price for your surgery because of your need. I know I have done that in the past.
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November 7, 2011
Answer: Insurance coverage for breastlift
Insurance plans do not cover breastlift despite the fact that you may have symptoms that are identical to a woman pursuing breast reduction, which often is covered by insurance (as long as the requested amount of tissue is removed, determined by the insurance company). I see many patients who have lost significant weight resulting in symptomatic sagging and deflation of the breasts. In my experience, insurance plans do not pay for a lift or implants, but you should explore the procedure if you are interested. It may be that it's not as expensive as you think, and financing may be available. Would you rather spend money on a vacation or on yourself, for results that will last you the rest of your life, beyond 1 week of pleasure? That is one way to look at the question practically.
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CONTACT NOW November 7, 2011
Answer: Insurance coverage for breastlift
Insurance plans do not cover breastlift despite the fact that you may have symptoms that are identical to a woman pursuing breast reduction, which often is covered by insurance (as long as the requested amount of tissue is removed, determined by the insurance company). I see many patients who have lost significant weight resulting in symptomatic sagging and deflation of the breasts. In my experience, insurance plans do not pay for a lift or implants, but you should explore the procedure if you are interested. It may be that it's not as expensive as you think, and financing may be available. Would you rather spend money on a vacation or on yourself, for results that will last you the rest of your life, beyond 1 week of pleasure? That is one way to look at the question practically.
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November 7, 2011
Answer: Breast lift coverage based on rashes Insurance company would not cover a breast lift based on dermatologic complaints. They will, however, pay for dermatology treatment for the rashes. Insurers have very strict, cause and effect based criteria. Whether they are rational or not, unfortunately, isn't the issue. These criteria result in denials even when there can be underlying medical problems. However, they are now denying breast reductions with infra-mammary intertrigo so a lift would have even lower standing with them.
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Answer: Breast lift coverage based on rashes Insurance company would not cover a breast lift based on dermatologic complaints. They will, however, pay for dermatology treatment for the rashes. Insurers have very strict, cause and effect based criteria. Whether they are rational or not, unfortunately, isn't the issue. These criteria result in denials even when there can be underlying medical problems. However, they are now denying breast reductions with infra-mammary intertrigo so a lift would have even lower standing with them.
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