I have Blue Cross Blue Shield. How much will it cost me and how fast do you get back to work?

Question

Do you think i should bigger or smaller? By the way im 38 years old one is a 34 d the other maybe a 34 b

Jed H. Horowitz, MD, FACS · Answer

The costs for #BreastReduction varies by the following:Surgeon's expertise and experienceThe cost for anaesthesia and operating facilityThe geographic location you have the procedureEstimates can be obtained here on RealSelf , PlasticSurgery.org or Surgery.orgAlthough, #BreastReduction procedures are commonly covered by #insurance and required criteria, it is becoming more and more restrictive. Some practices do not accept insurance. However, ask the staff to assist you in obtaining pre-authorization so that you can attempt to be #reimbursed for out of pocket #expenses.

Larry S. Nichter, MD, MS, FACS · Answer

From your description it seems as if you are a good candidate for breast reduction. Unfortunately, each insurance company has their own criteria. Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.This procedure is commonly covered by insurance through insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses

Kris M. Reddy, MD, FACS · Answer

You will have to contact Blue Cross Blue Shield for the guidelines regarding coverage of breast reduction for medically necessary reasons. You will need to meet Blue Cross Blue Shield functional and anatomical requirements and detail other options that you have already attempted. The amount of time that you will need to heal will be based off of the scope of the surgery, the type of work that you do, and your general health. The norm is a minimum of 10 days. Breast Reduction like other cosmetic surgery varies considerably across the country and even in the same area. South Florida tends to have lower fees then more expensive areas such as New York or Los Angeles. We charge starting at $5000 + MD Anesthesia related costs for breast reduction. Since you can get quality work at lower costs, patients will travel from throughout the state, the country, and internationally to have surgery in South Florida. To ensure that you are receiving quality work at the most cost effective prices, consult with board certified plastic surgeons that own their own nationally accredited facilities. The quality must be maintained at the highest level to maintain accreditation. The surgeons also have incentive to hire and train quality staff (to ensure that surgery is efficient and enjoyable), to ensure comfortable and private facilities (to encourage referral), and to eliminate waste (to ensure that these facilities can compete effectively).Consult with 3 experienced and expert board certified plastic surgeons to understand your options.

I have Blue Cross Blue Shield. How much will it cost me and how fast do you get back to work?

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I have Blue Cross Blue Shield. How much will it cost me and how fast do you get back to work?

Answers (3)

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Recommended reading

Everything you need to know about Breast Reduction

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