I'm 23 years old, 5'7, 140lbs. with 34DD-DDD breasts.I'm very active and enjoy sports. But, too much physical activity and my back aches and neck pains are unbearable. I constantly have rashes under my breast and on my shoulders. My insurance is Aetna, I was wondering if you know if they would cover a reduction. Thanks
Answer: Breast Reduction Insurance Criteria varies Unfortunately, each insurance company has their own criteria. Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.This procedure is commonly covered by insurance through insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses
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Answer: Breast Reduction Insurance Criteria varies Unfortunately, each insurance company has their own criteria. Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.This procedure is commonly covered by insurance through insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses
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March 16, 2014
Answer: Insurance coverage Your policy is likely to cover your breast reduction surgery, but Aetna has many different policies so coverage varies greatly. See your surgeon to discuss your best options.
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March 16, 2014
Answer: Insurance coverage Your policy is likely to cover your breast reduction surgery, but Aetna has many different policies so coverage varies greatly. See your surgeon to discuss your best options.
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January 21, 2019
Answer: Breast Reduction Covered by Insurance
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January 21, 2019
Answer: Breast Reduction Covered by Insurance
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June 22, 2013
Answer: Insurance Coverage for Breast Reduction - Aetna
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June 22, 2013
Answer: Insurance Coverage for Breast Reduction - Aetna
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June 22, 2013
Answer: Breast Reduction and Insurance Coverage?
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June 22, 2013
Answer: Breast Reduction and Insurance Coverage?
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