I appreciate the answers I got for my question about getting a breast reduction for my size H breasts and I have taken the advice from my answers. I have a consultation with a surgeon and I also have talked to my insurance company who says they cover with a PA. What would be advisable to do if they want documentation of my back problems and I can't go to a chiropractor because it's not covered by my insurance plan?
October 22, 2009
Answer: Documentation of back pain to support insurance coverage of breast reduction Frequently your primary care physician or gynecologist are willing to write a course of physical therapy for management and treatment of back pain, This course of physical therapy will establish a record of back pain and the need for treatment.
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October 22, 2009
Answer: Documentation of back pain to support insurance coverage of breast reduction Frequently your primary care physician or gynecologist are willing to write a course of physical therapy for management and treatment of back pain, This course of physical therapy will establish a record of back pain and the need for treatment.
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December 26, 2013
Answer: Documented back pain can support insurance claim for breast reduction Back pain and strain is 'the' issue concerning the need for breast reduction and in the past was considered the primary indication for insurance coverage. Many insurance carriers rely on documentation of this finding in the predetermination process. The best documentation is from physical therapy, chiropractic therapy, or an evaluation note from an orthopedic or sports medicine physician. Documentation and support of the predetermination process can also come from your primary care physician, or even your OB-Gyn. Each individual carrier and plan under a particular carrier may have a different set of 'rules' to go by. Often the insurance company will share their criteria to help you prepare so it is helpful to call.Best of luck,peterejohnsonmd
Helpful 1 person found this helpful
December 26, 2013
Answer: Documented back pain can support insurance claim for breast reduction Back pain and strain is 'the' issue concerning the need for breast reduction and in the past was considered the primary indication for insurance coverage. Many insurance carriers rely on documentation of this finding in the predetermination process. The best documentation is from physical therapy, chiropractic therapy, or an evaluation note from an orthopedic or sports medicine physician. Documentation and support of the predetermination process can also come from your primary care physician, or even your OB-Gyn. Each individual carrier and plan under a particular carrier may have a different set of 'rules' to go by. Often the insurance company will share their criteria to help you prepare so it is helpful to call.Best of luck,peterejohnsonmd
Helpful 1 person found this helpful
