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.

New York Plastic Surgeon
5.0 out of 5 stars 40 reviews

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 29 reviews

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