How do I get started with a medically necessary breast reduction through Aetna?

Question

I have Aetna as my primary insurance and I'm wearing a 36 F bra. My back is killing me. It hurts to stand for long periods of time. My shoulders are indented. Just wanna know what steps should I take to get this going.

Kenneth Hughes, MD · Answer

Read your Aetna certificate of coverage. Determine if Aetna requires you to use a board certified plastic surgeon (BCPS) who is in their network for full coverage. Look at the BCPS's web site gallery of before and after photos and the number of surgeries performed each year.  During a consult with the BCPS,  medical data to support the necessity for the breast reduction will be collected for requesting a preauthorization or precertification  of coverage.
Kenneth Hughes, BCPS
Los Angeles, CA

Sam Gershenbaum, DO · Answer

First step is to contact Aetna and ask them for plastic surgeons in their network in your area. Research which surgeons are on their network and review their before and after photos to make sure they produce results you like and make a consultation. That would be a good place to start. Best wishes.

Darryl J. Blinski, MD · Answer

It depends uno the exact Aetna Health plan you signed up for. If there are restrictions to breast reduction surgery? If there is a waiting period after initial sign in. If you need to use ONLY in plan PS providers. Best to call the Aenta company and ask for guidance and names of provider PSs.

How do I get started with a medically necessary breast reduction through Aetna?

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How do I get started with a medically necessary breast reduction through Aetna?

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Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.