I am a 40 H in bra size and I wanted to know how long would it take to get approved by my insurance and what are the recovery procedures? And if the surgery is done how long after can I start wearing a regular bra again?
Answer: Breast Reduction Thank you for your question.
Helpful 1 person found this helpful
Answer: Breast Reduction Thank you for your question.
Helpful 1 person found this helpful
October 15, 2018
Answer: How long does it take to get approved for a breast reduction? None of us can predict what decisions insurance companies will make regarding coverage for BR surgery, what documentation will sway their decision, or the length of the approval process. BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by most medical insurance providers. If not, they may try to deny you based upon a lot of things such as lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed. The insurance companies will dictate the amount of tissue to be removed, not the PS.
Helpful
October 15, 2018
Answer: How long does it take to get approved for a breast reduction? None of us can predict what decisions insurance companies will make regarding coverage for BR surgery, what documentation will sway their decision, or the length of the approval process. BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by most medical insurance providers. If not, they may try to deny you based upon a lot of things such as lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed. The insurance companies will dictate the amount of tissue to be removed, not the PS.
Helpful
October 13, 2018
Answer: Insurance approval for breast reduction Unfortunately there’s no straightforward answer to this question. We sometimes get approval immediately, and sometimes patients have to appeal for a year. Every plan is different, and since insurance is regulated by individual states, different rules may be in place depending upon where you are in the country. Since the introduction of ObamaCare significant cost and responsibilities have been shifted from the insurers on to the patients, and the doctors now have very little influence on decisions, and oftentimes are withheld information. So what’s most important is knowing that you are the policy holder with a contract between you and your insurance company, so the best way for you to get answers is to personally contact your own insurance company to determine the specifics of your particular plan. Unfortunately, most doctors offices don’t have the resources to figure this out for you, and the information they’re given by the insurance company is oftentimes unreliable anyway.A visit to a plastic surgeon's office will help you to understand if you're a candidate for the procedure, and what aesthetic and/or functional outcomes are realistic in your particular case. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, always schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery.
Helpful
October 13, 2018
Answer: Insurance approval for breast reduction Unfortunately there’s no straightforward answer to this question. We sometimes get approval immediately, and sometimes patients have to appeal for a year. Every plan is different, and since insurance is regulated by individual states, different rules may be in place depending upon where you are in the country. Since the introduction of ObamaCare significant cost and responsibilities have been shifted from the insurers on to the patients, and the doctors now have very little influence on decisions, and oftentimes are withheld information. So what’s most important is knowing that you are the policy holder with a contract between you and your insurance company, so the best way for you to get answers is to personally contact your own insurance company to determine the specifics of your particular plan. Unfortunately, most doctors offices don’t have the resources to figure this out for you, and the information they’re given by the insurance company is oftentimes unreliable anyway.A visit to a plastic surgeon's office will help you to understand if you're a candidate for the procedure, and what aesthetic and/or functional outcomes are realistic in your particular case. In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, always schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery.
Helpful
October 13, 2018
Answer: Breast reduction Dear jgamiz,The majority of breast reduction patients need one week of downtime. Depending on the work environment (heavy lifting, etc) more time off may be necessary. Patients are encouraged to walk immediately after surgery to avoid blood clots in the legs. I suggest that you follow your plastic surgeon’s post-operative instructions, especially on the level of activity that you can do and your scheduled follow up checkups, for faster and recovery.Every surgeon has a preferred type of bra that they let their patients wear after breast reduction, as this would depend on various factors like the type of surgery performed. You should discuss your concerns with your plastic surgeon and follow his or her advice. Daniel Barrett, MD
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October 13, 2018
Answer: Breast reduction Dear jgamiz,The majority of breast reduction patients need one week of downtime. Depending on the work environment (heavy lifting, etc) more time off may be necessary. Patients are encouraged to walk immediately after surgery to avoid blood clots in the legs. I suggest that you follow your plastic surgeon’s post-operative instructions, especially on the level of activity that you can do and your scheduled follow up checkups, for faster and recovery.Every surgeon has a preferred type of bra that they let their patients wear after breast reduction, as this would depend on various factors like the type of surgery performed. You should discuss your concerns with your plastic surgeon and follow his or her advice. Daniel Barrett, MD
Helpful
October 15, 2018
Answer: Breast Reduction - Insurance Approval Thank you for your question. There are no stead fast rules on the turn around time for obtaining an approval for medical necessity coverage of a breast reduction. Most insurance companies want to see a well documented history of 'failed conservative management' including notes from orthopedic surgeons, chiropractors, physical therapists, internists, and dermatologists attesting to chronic back, neck and shoulder pain or rashes as a result of large and heavy breasts. Assuming that you have the required documentation and are a true candidate for a medically necessary breast reduction (satisfying the gram amount/weight minimums to be surgically removed) most insurance companies will provide you with a decision (approval or denial) within 14 business days of claim submission with all supplemental documentation as required by your plan. If you are denied there are options for an appeal. Your best bet is to schedule an in person consultation and evaluation by a board certified plastic surgeon to discuss your concerns and review your candidacy for a breast reduction. Recovery is usually pretty simple with patients returning to work within 3-5 days of their procedure. Patients are generally encouraged to wear a light weight compression surgical bra post-operatively for the first 4-6 weeks, but each surgeon has their own protocol and recommendations based on their experience and training. I hope that this helps. I wish you the very best!
Helpful
October 15, 2018
Answer: Breast Reduction - Insurance Approval Thank you for your question. There are no stead fast rules on the turn around time for obtaining an approval for medical necessity coverage of a breast reduction. Most insurance companies want to see a well documented history of 'failed conservative management' including notes from orthopedic surgeons, chiropractors, physical therapists, internists, and dermatologists attesting to chronic back, neck and shoulder pain or rashes as a result of large and heavy breasts. Assuming that you have the required documentation and are a true candidate for a medically necessary breast reduction (satisfying the gram amount/weight minimums to be surgically removed) most insurance companies will provide you with a decision (approval or denial) within 14 business days of claim submission with all supplemental documentation as required by your plan. If you are denied there are options for an appeal. Your best bet is to schedule an in person consultation and evaluation by a board certified plastic surgeon to discuss your concerns and review your candidacy for a breast reduction. Recovery is usually pretty simple with patients returning to work within 3-5 days of their procedure. Patients are generally encouraged to wear a light weight compression surgical bra post-operatively for the first 4-6 weeks, but each surgeon has their own protocol and recommendations based on their experience and training. I hope that this helps. I wish you the very best!
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