I know there is no health concern with tuberous breast but is there anyway around it? Any recommendations?
Answer: Follow-up: Does insurance cover tuberous breast since it is abnormal? No, this is considered a cosmetic surgery. It's probably best to find a board certified plastic surgeon who takes the time to properly examine you and recommend the best procedure for you to improve your breast aesthetics. Good luck!
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Answer: Follow-up: Does insurance cover tuberous breast since it is abnormal? No, this is considered a cosmetic surgery. It's probably best to find a board certified plastic surgeon who takes the time to properly examine you and recommend the best procedure for you to improve your breast aesthetics. Good luck!
Helpful 1 person found this helpful
Answer: No insurance coverage Unfortunately, insurance doesn’t usually cover tuberous breast correction since it is considered a cosmetic issue.
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Answer: No insurance coverage Unfortunately, insurance doesn’t usually cover tuberous breast correction since it is considered a cosmetic issue.
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December 24, 2016
Answer: Coverage of tuberous breast deformity?? Thanks for your question. I have had several tuberous breast deformity pts. have their surgery covered by insurance. It really depends on your insurance carrier and to some degree, who review your file that day. They have guidelines but they are just that....guidelines, not absolutes. I always prepare my pts. that the surgery may be deemed cosmetic and thus not covered by insurance. The insurance carriers say they cover congenital breast deformities so sometimes I will submit the info coverage although I'm realistic about the chances of being approved. I hope this helps. Good luck.
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December 24, 2016
Answer: Coverage of tuberous breast deformity?? Thanks for your question. I have had several tuberous breast deformity pts. have their surgery covered by insurance. It really depends on your insurance carrier and to some degree, who review your file that day. They have guidelines but they are just that....guidelines, not absolutes. I always prepare my pts. that the surgery may be deemed cosmetic and thus not covered by insurance. The insurance carriers say they cover congenital breast deformities so sometimes I will submit the info coverage although I'm realistic about the chances of being approved. I hope this helps. Good luck.
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December 24, 2016
Answer: Does insurance cover tuberous breast since it is abnormal? No.I also believe it is disingenuous to ask you to talk to various breast surgeons as if the "right" questions, letters to insurance, or the "right surgeon" might be able to achieve coverage for tuberous breasts. THIS WILL NOT HAPPEN!I have been a reviewer for Blue Cross/Blue Shield as well as for Medicare, and have never approved breast surgery for tuberous breasts. Somewhere, I suspect this might have occurred, but I suspect it would only be approved if there was incorrect information supplied or unethical practices carried out.Sorry, but this surgery is elective and self-pay, so you owe it to yourself to find the best surgeon, not one who implies that coverage might be possible (It won't.) Best wishes! Dr. Tholen
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December 24, 2016
Answer: Does insurance cover tuberous breast since it is abnormal? No.I also believe it is disingenuous to ask you to talk to various breast surgeons as if the "right" questions, letters to insurance, or the "right surgeon" might be able to achieve coverage for tuberous breasts. THIS WILL NOT HAPPEN!I have been a reviewer for Blue Cross/Blue Shield as well as for Medicare, and have never approved breast surgery for tuberous breasts. Somewhere, I suspect this might have occurred, but I suspect it would only be approved if there was incorrect information supplied or unethical practices carried out.Sorry, but this surgery is elective and self-pay, so you owe it to yourself to find the best surgeon, not one who implies that coverage might be possible (It won't.) Best wishes! Dr. Tholen
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December 24, 2016
Answer: Tuberous breast correction and insurance coverage The only way to be sure about what will or will not be covered by insurance is to make a formal inquiry. Your board certified plastic surgeon should be able to guide you both in developing a treatment plan as well as discussing the financial options available to you.Anecdotally speaking, in my experience, I am not aware of correction of tuberous breast deformity for reasons of cosmesis being covered by insurance. Insurance typically covers reconstruction or procedures performed out of medical necessity.As always, discuss your concerns with your board certified plastic surgeon.
Helpful 1 person found this helpful
December 24, 2016
Answer: Tuberous breast correction and insurance coverage The only way to be sure about what will or will not be covered by insurance is to make a formal inquiry. Your board certified plastic surgeon should be able to guide you both in developing a treatment plan as well as discussing the financial options available to you.Anecdotally speaking, in my experience, I am not aware of correction of tuberous breast deformity for reasons of cosmesis being covered by insurance. Insurance typically covers reconstruction or procedures performed out of medical necessity.As always, discuss your concerns with your board certified plastic surgeon.
Helpful 1 person found this helpful
