I have been a 42H since I was 16, now I'm 21. I've been trying to get a reduction from 16, but no doctor wanted to operate on a minor much less one who hasn't breast fed yet. Since I've tried weightless but my breasts has not shrunk. I need a reduction now, the pain is becoming worst and unbearable. Between the lower and mid back pains to the neck and shoulder, it's hard for me to stand at work. I have Metroplus through Medicaid. Is it possible.how hard is it for them to cover my surgery.
Answer: Insurance and BA 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
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Answer: Insurance and BA 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
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September 24, 2015
Answer: Breast reduction candidate, some advices: Thank you very much for sharing your concerns with us. After having analyzed all the information provided to us, i can realize that you have very large breasts for your height and weight, and can be responsible for head, back, neck and shoulder pain.In the future may cause permanent osteo-articular damage in the back and shoulders and skin problems (mainly under the breasts). For for this reasons, certainly you need a breast reduction surgery.Respectfully, Dr. Emmanuel Mallol Cotes.-
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September 24, 2015
Answer: Breast reduction candidate, some advices: Thank you very much for sharing your concerns with us. After having analyzed all the information provided to us, i can realize that you have very large breasts for your height and weight, and can be responsible for head, back, neck and shoulder pain.In the future may cause permanent osteo-articular damage in the back and shoulders and skin problems (mainly under the breasts). For for this reasons, certainly you need a breast reduction surgery.Respectfully, Dr. Emmanuel Mallol Cotes.-
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September 23, 2015
Answer: 42H to DDD Reduction Based on your description you may be a good candidate for breast reduction surgery; It is one of the most patient pleasing operations we perform. If you are not at your long-term stable weight, it will be in your best interest to drop weight prior to surgery.
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September 23, 2015
Answer: 42H to DDD Reduction Based on your description you may be a good candidate for breast reduction surgery; It is one of the most patient pleasing operations we perform. If you are not at your long-term stable weight, it will be in your best interest to drop weight prior to surgery.
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September 23, 2015
Answer: Obtaining Insurance Coverage for your Breast Reduction Thank you for your pictures. You should seek non surgical therapy for your neck and back pain from your primary care physician. If you do not improve with non surgical therapy then you will need a referral to a plastic surgeon for breast reduction. All the information from both physicians can be submitted to see if you can get your breast reduction covered.
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September 23, 2015
Answer: Obtaining Insurance Coverage for your Breast Reduction Thank you for your pictures. You should seek non surgical therapy for your neck and back pain from your primary care physician. If you do not improve with non surgical therapy then you will need a referral to a plastic surgeon for breast reduction. All the information from both physicians can be submitted to see if you can get your breast reduction covered.
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September 25, 2015
Answer: Insurance Coverage? Every insurance plan has their own unique criteria on whether they will
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September 25, 2015
Answer: Insurance Coverage? Every insurance plan has their own unique criteria on whether they will
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