Will Tricare Prime cover my breast reduction a couple months before my 21st birthday, when I get taken off my parents insurance?

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.

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

First call your insurance policy carrier and make sure that breast reduction is part of their policy. May patient has come to the office and apply for breast reduction coverage, only to find out that their policy just plain basically does not cover breast reductions. If Your insurance plan does cover breast reduction, then the next challenge becomes proving to your insurance carrier that you qualify for it based on their policy. for this, he will most likely need to be examined by the doctor 1st to formulate the plan and read a letter of request.