Tricare Breast reduction?

If Tricare approved the referral from my PCM for a consultation does it mean if I am a candidate for the surgery they will pay for it?

Doctor Answers 2

Consultation authorization

Not at all. The insurer is not supposed to restrict consultation access which has no correlation to subsequent surgical approval.

Insurance and coverage

Each insurance company sets up different criteria for approval of a breast reduction. You should contact your insurance company first to see what their criteria are.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.