Will Blue Cross & Blue Shield cover the removal of gynecomastia? (Photo)

I've dealt with Gyno all through my teens and early adulthood. I thought I would learn to accept this but I can't. I can't run or lift weights because no matter what I do they won't go away. Will my insurance cover all or most of the cost of the surgery? Is there a way of getting the surgery so that I'm not too scarred and can still remove my shirt and people won't notice? I'm desperate at this point. Any help would be appreciated.

Doctor Answers 8

Will Blue Cross & Blue Shield cover the removal of gynecomastia?

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I am not aware of insurance coverage for #gynecomastia surgery. 

Seek a plastic surgeon with specialty training in #gynecomastia surgery, has great photos, and is an expert in male breast reduction.

Beverly Hills General Surgeon
4.9 out of 5 stars 317 reviews

Insurance Coverage and Gynecomastia Surgery

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Typically, gynecomastia surgery is not always covered by many insurance or healthcare programs. If it is, it can take some time to acquire approval as criteria can be restrictive. If approved, it's possible to be reimbursed by the insurance company after the surgery. Nevertheless, most plastic surgery offices offer convenient finance plans that allow patients to pay a low monthly payment. 

According to the American Society of Plastic Surgeons the average #cost of #gynecomastia surgery can vary widely. #Surgery quotes should include the procedure itself, operating room facilities, anesthesia fees, surgeon’s fees, medical tests, post-surgery garments, prescription medication and other related costs.  Costs will also vary with geographic location. Estimated costs can be found here on RealSelf.com, PlasticSurgery.org or Surgery.org.

It is imperative you select a plastic surgeon who is #board-certified and has a great deal of experience with male breast #reduction. Plastic surgeons who have specialized in breast surgery and cosmetic surgery are suitable to perform your procedure. Aside from checking board-certification, it is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 116 reviews

In Many Cases, Insurance Should Pay for Gyecomastia Treatment

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Male breast reduction surgery helps bring a male's body back to “normal
form”. But most insurance companies will only cover surgeries which involve
restoration of “normal function”, otherwise they consider it a cosmetic problem. 

One could argue that there is a definite psychological toll from having gynecomastia, but insurance companies generally will not be swayed by that argument.

Blue Cross Blue Shield Coverage of Gynecomastia Surgery

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Blue Cross Blue Shield is unlikely to cover the costs of male breast reduction. However, you should contact your insurance company to understand the specifics of your plan.

The cost off male breast reduction varies across the country and even in the same area. Prices in South Florida are less than more expensive cities such as Toronto, New York, or Los Angeles. We charge starting at $3000 + MD Anesthesia related expenses for male breast reduction.

For quality surgery at the most economical prices, consult with surgeons in your area who own a nationally accredited surgery center as they tend to have greater control over costs but still maintain the highest possible quality to maintain accreditation.

Consult with 3 experienced and expert board certified plastic surgeons to understand your options.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Insurance Coverage for Gynecomastia

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Thank you for your pictures. I am sorry to hear about your concerns.  Unfortunately, if you do not have a specific discrete mass of your chest insurance is very unlikely to cover this.  Please seek evaluation from several board certified plastic surgeons.

Insurance covered gunecomastia

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Very doubtful ant health insurance will cover in todays insurance atmosphere. See a few boarded PSs in person to see 
or call BC/BS AND ASK. 

gynecomastia Tampa FL

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Insurance does not cover.
How should I choose a surgeon?
Selecting a surgeon is as important a choice as the decision to undergo surgery. Choose carefully only a board certified PLASTIC SURGEON. The decision is yours. What follows is some advice to assist in making your selection.
1. Experience matters. Choosing a surgeon who has performed over one thousand gynecomastia cases increases the likelihood that they have seen a case similar to yours in the past. Selecting a surgeon whose practice is focused on gynecomastia exclusively is also an indicator of experience.
2. Results matter. The more before-and-after pictures a surgeon displays, the better. Pay attention not just to the number of pictures, but whether the surgeon is confident enough to show multiple angles of the same patient.
3. Gynecomastia surgery Reviews matter. Have patients reviewed your surgeon? Did those patients undergo the surgery you are considering?
4. Expertise matters. Is your surgeon recognized by the profession as an authority in the field? Are they certified by the American Board of Plastic Surgery? Have they authored books or medical journal articles regarding your surgery?
We hope these guidelines are of assistance when you are selecting your surgeon. When undergoing surgery, it is very important to be realistic about your expectations. Past results are not a guarantee of future results. Also, revision surgery tends to be significantly more difficult than initial surgery.

Mordcai Blau, MD
New York Plastic Surgeon
4.6 out of 5 stars 89 reviews

Will Blue Cross & Blue Shield cover the removal of gynecomastia?

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I am sorry to hear about the concerns your chest wall appearance has caused you.  My best suggestion: seek in-person consultation with board certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. Working together, you will come up with the best plan to achieve your goals. As you learn about options, also carefully consider the pros/cons/risks/complications associated with each option discussed.

In my experience, most health insurance companies do not help with correction of gynecomastia. Best to check directly with your insurance company to see whether breast reduction surgery is a “covered” benefit with your specific policy. You may find the attached link, helpful to you as you learn more about treatment options. Best wishes.

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.