I had a Breast reduction done many years ago and have very painful scar tissue as a result of it. My breasts are also 2 VERY different sizes where do you find a bra with a B cup and a C cup : ( Will my insurance pay for this disaster to be corrected?
Answer: Breast Reduction Revision
It really depends on your insurance, some will and some wont. It just depends on who reviews the preauthorization paper work.
You plastic surgeon will have to take pictures and submit it to the insurance company to see if they approve the surgery. I would likley say they will not.
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It really depends on your insurance, some will and some wont. It just depends on who reviews the preauthorization paper work.
You plastic surgeon will have to take pictures and submit it to the insurance company to see if they approve the surgery. I would likley say they will not.
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CONTACT NOW Answer: Insurance Rarely Covers Breast Reduction Revision Insurance companies in general are only concerned about solving functional problems (e.g back or breast pain, inability to wear clothes or exercise, etc). They are not concerned about cosmetic appearance and it his highly unlikely that they will cover any revisions for this purpose. I would return to your original surgeon who will likely discount his services if this was related to his surgery. There is a chance that they will cover because of your complaints of pain but unlikely.
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CONTACT NOW Answer: Insurance Rarely Covers Breast Reduction Revision Insurance companies in general are only concerned about solving functional problems (e.g back or breast pain, inability to wear clothes or exercise, etc). They are not concerned about cosmetic appearance and it his highly unlikely that they will cover any revisions for this purpose. I would return to your original surgeon who will likely discount his services if this was related to his surgery. There is a chance that they will cover because of your complaints of pain but unlikely.
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November 11, 2011
Answer: Insurance coverage?
Thank you for the question.
Every insurance company has different policy as far as what are considered medically necessary and covered benefits. Generally, the more supporting documentation ( of medical necessity) you have from your primary care physician and/or plastic surgeon the better your chances for obtaining coverage.
Best wishes.
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Answer: Insurance coverage?
Thank you for the question.
Every insurance company has different policy as far as what are considered medically necessary and covered benefits. Generally, the more supporting documentation ( of medical necessity) you have from your primary care physician and/or plastic surgeon the better your chances for obtaining coverage.
Best wishes.
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June 9, 2009
Answer: Check with your insurance plan first It is important to check with your plan first if this type of revisional surgery is coverd. Next would be to find a plastic surgeon who participates in your plan. The other option is to have the surgery done by an experienced plastic surgeon, even though he/she might not be on your plan. He/she can still submit the claim, but your insurance might cover only part of the surgical cost. Some plans require preauthorization first and would not cover medical expenses retrograde. Good luck.
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Answer: Check with your insurance plan first It is important to check with your plan first if this type of revisional surgery is coverd. Next would be to find a plastic surgeon who participates in your plan. The other option is to have the surgery done by an experienced plastic surgeon, even though he/she might not be on your plan. He/she can still submit the claim, but your insurance might cover only part of the surgical cost. Some plans require preauthorization first and would not cover medical expenses retrograde. Good luck.
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June 9, 2009
Answer: No Rhyme or Reason Mkw, Unfortunately, there is almost no rhyme or reason as to what insurance carriers will or will not cover. It depends on what state you are in, what insurance carrier you have, what your specific plan is and sometimes who picks up the phone when you call for authorization. It's that ridiculous. A letter from your surgeon would document your symptoms and the medical necessity for surgery. Sometimes photos of your condition are helpful for the insurance company to appreciate the cause of those symptoms. I would recommend a visit to a board certified plastic surgeon for some assistance and guidance as to how to get approval. Good luck!
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Answer: No Rhyme or Reason Mkw, Unfortunately, there is almost no rhyme or reason as to what insurance carriers will or will not cover. It depends on what state you are in, what insurance carrier you have, what your specific plan is and sometimes who picks up the phone when you call for authorization. It's that ridiculous. A letter from your surgeon would document your symptoms and the medical necessity for surgery. Sometimes photos of your condition are helpful for the insurance company to appreciate the cause of those symptoms. I would recommend a visit to a board certified plastic surgeon for some assistance and guidance as to how to get approval. Good luck!
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