Hello, I am reaching out to any doctors who may have done an insurance pre-authorized breast reduction on a patient who didn’t end up taking out the required Schnur scale grams? How did insurance react? Experiences with the patient? I am a bit worried as I’m pre-approved for 350 grams, but doc said he may only end up removing ~200. He said he’s never had my insurance problems, but is that the experience of other surgeons?
December 19, 2022
Answer: Reduction I have never had an insurance company authorize a breast reduction with only 200 grams removed. I do not believe you will be covered. It is better getting this resolved before surgery otherwise you will get a pricey hospital after surgery.
Helpful
December 19, 2022
Answer: Reduction I have never had an insurance company authorize a breast reduction with only 200 grams removed. I do not believe you will be covered. It is better getting this resolved before surgery otherwise you will get a pricey hospital after surgery.
Helpful
Answer: Insurance With most insurance companies, if the approved amount of breast tissue is not removed, the procedure is not covered. Insurance companies will not budge on this amount. Noncoverage will also include the fees of anesthesia and the surgical facility in where the surgery was performed. With noting covered, you will be required to pay everything. Your surgeon does want to keep enough tissue to keep your nipples alive. Below that amount, you may need free nipple grafts which will leave you with no sensation nor function. Please go back and discuss all of this with your surgeon. You might want to pay yourself and let your surgeon give you the appropriate size breasts with functioning nipples.
Helpful
Answer: Insurance With most insurance companies, if the approved amount of breast tissue is not removed, the procedure is not covered. Insurance companies will not budge on this amount. Noncoverage will also include the fees of anesthesia and the surgical facility in where the surgery was performed. With noting covered, you will be required to pay everything. Your surgeon does want to keep enough tissue to keep your nipples alive. Below that amount, you may need free nipple grafts which will leave you with no sensation nor function. Please go back and discuss all of this with your surgeon. You might want to pay yourself and let your surgeon give you the appropriate size breasts with functioning nipples.
Helpful
