Will Molina cover this type of surgery to get my male breast removed, will they pay for the surgery?

Question

Kenneth Hughes, MD · Answer

Although cosmetic procedures are never covered by insurance, certain procedures related to your surgery may be covered by certain insurance carriers. Gynecomastectomy for male breast growth (Gynecomastia) is one that is sometimes covered.  The cause for gynecomastia is frequently idiopathic, meaning that the cause is unknown in most cases.  If it is determined that the cause is related to other causes such as anabolic steroids, marijuana, certain prescription medications, or liver failure, it will not be covered.  If gynecomastia is not associated with a serious and life threatening medical situation like extreme pain or a cancerous tumor, the chances of getting approval for insurance coverage for gynecomastia surgery are low.Kenneth Hughes, MD, Board Certified Plastic SurgeonLos Angeles, CA

David Dellinger, DO, FACOS · Answer

You may want to check directly with your insurance plan to see if they cover gynecomastia procedures. In general, most insurances do not cover surgery for correction of gynecomastia, or do so under rather extreme circumstances. Discussing the matter directly with your insurance carrier would be your best option. If your insurance states that this is a covered benefit, ask for the documents stating the requirements for authorization.

Will Molina cover this type of surgery to get my male breast removed, will they pay for the surgery?

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Will Molina cover this type of surgery to get my male breast removed, will they pay for the surgery?

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Recommended reading

Everything you need to know about Gynecomastia Surgery

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