I have stage 2 hidradenitis suppurativa that is mostly controlled with medication, and I am in the process of losing weight. I'll be over 100 lbs down all said and done. I don't think I'll have enough tissue left for a breast reduction once I'm at my goal weight but the friction of the excess skin and sagging causes me to have flare ups and rashes that can be quite painful, even on the medication to control my HS. Would medicaid would typically cover a lift in a scenario like this? Thank you!
February 3, 2021
Answer: Breast lift for hidradenitis suppurativa They most likely will! There are two ways it could be covered. First, if your hidradenitis is on the bottom part of your breast, this is the tissue that is usually removed in a breast lift or breast reduction anyways. Medicaid will definitely cover the excision of hidradenitis tissue, so if that is your diseased area it will be covered. The other way is to have it covered as a small breast reduction, which uses the same incisions as a breast lift. One of the covered reasons for a reduction is rash or infection that persists despite medical treatment. Because you will not need much volume removed, it may take a bit of back and forth with the insurance company, but you will most likely be able to get it covered one way or the other. Medicaid usually requires prior authorization before you can get a procedure, so your doctor should submit your case and let you know for sure whether it is approved or not beforehand.
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February 3, 2021
Answer: Breast lift for hidradenitis suppurativa They most likely will! There are two ways it could be covered. First, if your hidradenitis is on the bottom part of your breast, this is the tissue that is usually removed in a breast lift or breast reduction anyways. Medicaid will definitely cover the excision of hidradenitis tissue, so if that is your diseased area it will be covered. The other way is to have it covered as a small breast reduction, which uses the same incisions as a breast lift. One of the covered reasons for a reduction is rash or infection that persists despite medical treatment. Because you will not need much volume removed, it may take a bit of back and forth with the insurance company, but you will most likely be able to get it covered one way or the other. Medicaid usually requires prior authorization before you can get a procedure, so your doctor should submit your case and let you know for sure whether it is approved or not beforehand.
Helpful
