Diagnosed Capsular Contractor with pain and in need of medical statement from surgeon that will file to insurance.
Doctor Answers 4
CC and insurance
I recommend looking on the website for your insurance company. There should be a list of plastic surgeons that take your insurance. Start with that list and call their offices and find out if the surgeon will be willing to write a letter for insurance preapproval.
Personally, I am always willing to write a letter but I never guarantee that the insurance will cover it. I've seen many instances that someone at the company tells a person that it is covered when in fact they reject it in the long run. This is incredibly frustrating for all involved.
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Treating Capsular Contracture & Insurance
Those experiencing this are candidates for Breast Revision Surgery. An implant revision or exchange intends to replace the damaged implants with new silicone or saline filled implants with newer technology. Secondary breast surgery can be complex and needs to be done by an experienced plastic surgeon. The specific procedure to be performed will depend on the complications experienced and the condition of the implants.
Each insurance policy has different guidelines and exclusions. Although, many practices do not accept insurance, their staff may be to assist patients by providing a pre-authorization form so you may attempt to be reimbursed for any out of pocket expenses.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.