Will FEP BCBS of Texas cover a BR; as well as hospital stay due to not having someone to help me after surgery? (photo)

I am 5'3 and I weight 180lbs. Right now my bra size is a 40H and I'm sure they have grown. I believe I need a reduction? I would like to have this surgery and then recover in the hospital for a day or two due to not having someone to pick me up or assist with needs after the surgery. Does insurance cover this service?

Doctor Answers 2

Breast reduction and insurance

Thank you for your question.  Based on your photos, it appears that you would be a good candidate for a breast reduction.  However, you would need to meet your insurance plan's prerequisites for a breast reduction and get pre-authorization through your plastic surgeon.  Since breast reduction is an outpatient procedure, insurance will not cover a hospital stay.  Some plastic surgeons provide an overnight nursing service for a small additional fee. Be sure to consult with an experienced board certified plastic surgeon.  Good luck!

Dallas Plastic Surgeon
5.0 out of 5 stars 16 reviews

BCBS and Breast Reduction

You would need to find a cosmetic surgeon provider that accepts BCBS first. They would then evaluate you and send a letter on your behalf to BCBS asking for approval. Then it is a waiting game to see if your insurance would cover the surgery. Expect to still have some out of pocket expenses. BCBS is not going to cover a hospital stay due to a breast reduction being an outpatient procedure. Some offices provide overnight care for a fee. Best of Luck. 

Lawrence Bundrick, MD
Huntsville Plastic Surgeon
5.0 out of 5 stars 7 reviews

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