I have been suffering for years with back, neck, and shoulder pain due to the size of my breasts but never got surgery due to lack of insurance and I wanted to have a child first.Now, I have had my child which has caused my breast to be even larger now they are a size 42 H. I have medicaid but it is the blue card(non traditional medicaid), what would I have to do to get Breast reduction covered?
January 10, 2014
Answer: Insurance Every insurance plan has their own unique criteria on whether they will cover a breast reduction. More and more, we are seeing plans where a breast reduction is not a covered benefit. If it is a covered benefit, some insurance plans set a minimum required amount of tissue to be remove in order to met their threshold for coverage. Some set the amount in relation to your BMI (height and weight). Others require extensive medical records documenting neck pain, back pain, and history of rashes. The other alternative is to opt for a breast reduction as a self-pay option. Start by visiting with a board certified plastic surgeon to learn more about your options.Best wishes,Dr. BasuHouston, TX
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January 10, 2014
Answer: Insurance Every insurance plan has their own unique criteria on whether they will cover a breast reduction. More and more, we are seeing plans where a breast reduction is not a covered benefit. If it is a covered benefit, some insurance plans set a minimum required amount of tissue to be remove in order to met their threshold for coverage. Some set the amount in relation to your BMI (height and weight). Others require extensive medical records documenting neck pain, back pain, and history of rashes. The other alternative is to opt for a breast reduction as a self-pay option. Start by visiting with a board certified plastic surgeon to learn more about your options.Best wishes,Dr. BasuHouston, TX
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March 25, 2010
Answer: Insurance and breast reduction Insurance does not always cover a breast reduction. The best thing for you to do would be to call yoru insurance company and ask for their criteria to approve them. Then seek a doctor that will accept Medicaid.
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March 25, 2010
Answer: Insurance and breast reduction Insurance does not always cover a breast reduction. The best thing for you to do would be to call yoru insurance company and ask for their criteria to approve them. Then seek a doctor that will accept Medicaid.
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