I Just Found out That Breast Reductions Are Excluded from my Health Insurance Policy?

Question

Is there any way around that through the appeal process? Or anything else that I can do?

Ronald J. Edelson, MD · Answer

you should find out more of the specifics regarding your policy.  They might cover it but often there is a waiting time with a new policy for elective procedures.  Unfortunately, however, exclusion of certain procedures from coverage is going to become more and more common as insurance carriers try to improve their bottom line by cutting out procedures it considers to be what they feel is a luxury as opposed to a necessity.  but do not give up,on your insurance quite yet.  Oftentimes, what is really needed is persistence on your part.

Tom J. Pousti, MD · Answer

There is probably not much you can do if the procedure is “excluded” out right. Of course, other options include a change of health insurance plan if possible or gradual saving for the procedure.

	 Don't give up;  breast reduction surgery is one of the most patient pleasing operations performed.

Jeffrey Zwiren, MD · Answer

Unfortunately insurance companies are allowed to exclude some procedures.  This is becoming  a common practice with procedures such as a breast reduction which has proven health benefits for the patient.  The job of the insurance company is to avoid paying for procedures.  It is an unfortunate consequence of the health care problem in America.  You may file a complaint with the insurance commissioner of your state.

Darryl J. Blinski, MD · Answer

If the exclusion was in your original health insurance contract, that you signed, than NO option! Sorry but this is health care in 2012.

Steven Wallach, MD · Answer

Sorry to hear that, but insurance companies are more and more not approving breast reduction surgery. Welcome to 2012 medical care!  Certainly appealing may help, but you can also pay for it yourself if it doesn ot get approved.

I Just Found out That Breast Reductions Are Excluded from my Health Insurance Policy?

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I Just Found out That Breast Reductions Are Excluded from my Health Insurance Policy?

Answers (10)

Answer: I Just Found out That Breast Reductions Are Excluded from my Health Insurance Policy?

Answer: I Just Found out That Breast Reductions Are Excluded from my Health Insurance Policy?

Answer: Insurance and breast reduction

Answer: Insurance and breast reduction

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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.