I am 24 years old, I am 5'9, and am 215 lbs. I am done having children and my bra size is a 40G. I have had muscle spasms in my mid back for 7 years and have had off and on intense burning pain in my neck and shoulders as well.
June 18, 2015
Answer: I would like to know if I would be a good candidate for my insurance to cover a reduction surgery? Depending on your particular health insurance plan, breast reduction surgery may be considered a covered benefit. Some insurance carries may cover your breast reduction surgery based on the size of your breast, your body habitus, and the severity of back, neck, and shoulder pain caused by your large breast. Breast reduction surgery is generally considered a reconstructive procedure and may be covered by health insurance when it is performed to relieve these medical symptoms. Many insurers determine whether to categorize breast reduction surgery as reconstructive surgery based on the amount of tissue that will be removed. Breast reductions involving removal of small amounts of tissue may not be covered by your insurance. Pre-certification is required for reimbursement or coverage. Insurance policies vary greatly and a pre-certification is not a guarantee of payment. I recommend that you carefully review your policy to determine your coverage for breast reduction surgery. I would also recommend that you make an appoitment with a board certified plastic surgeon to discuss your options.
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June 18, 2015
Answer: I would like to know if I would be a good candidate for my insurance to cover a reduction surgery? Depending on your particular health insurance plan, breast reduction surgery may be considered a covered benefit. Some insurance carries may cover your breast reduction surgery based on the size of your breast, your body habitus, and the severity of back, neck, and shoulder pain caused by your large breast. Breast reduction surgery is generally considered a reconstructive procedure and may be covered by health insurance when it is performed to relieve these medical symptoms. Many insurers determine whether to categorize breast reduction surgery as reconstructive surgery based on the amount of tissue that will be removed. Breast reductions involving removal of small amounts of tissue may not be covered by your insurance. Pre-certification is required for reimbursement or coverage. Insurance policies vary greatly and a pre-certification is not a guarantee of payment. I recommend that you carefully review your policy to determine your coverage for breast reduction surgery. I would also recommend that you make an appoitment with a board certified plastic surgeon to discuss your options.
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June 18, 2015
Answer: Will insurance cover my breast reduction? It is possible that insurance will cover your breast reduction. If you are enrolled in an HMO you should see your primary care physician and he/she can refer you to a Board certified plastic surgeon. If you belong to a PPO call your insurance company and check to see if it's a covered benefit and then ask for a referral to participating physician.Some surgeons may not participate in your insurance but would be happy to courtesy bill and reimburse you the insurance payment after surgery but they will ask for payment upfront. At your consultation the physician will document your medical issues, take photos and submit a letter to your insurance company for approval. I wish you the best of luck.
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June 18, 2015
Answer: Will insurance cover my breast reduction? It is possible that insurance will cover your breast reduction. If you are enrolled in an HMO you should see your primary care physician and he/she can refer you to a Board certified plastic surgeon. If you belong to a PPO call your insurance company and check to see if it's a covered benefit and then ask for a referral to participating physician.Some surgeons may not participate in your insurance but would be happy to courtesy bill and reimburse you the insurance payment after surgery but they will ask for payment upfront. At your consultation the physician will document your medical issues, take photos and submit a letter to your insurance company for approval. I wish you the best of luck.
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