Gyno surgery covered by OHIP?
Doctor Answers 7
OHIP and Gynecomastia Surgery
In the U.S., 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.
Gynecomastia surgery and OHIP coverage
Thank you for your clinical post. Ontario Health Insurance Plan will dramatically and radically from U.S. insurance schemata so U.S. physician advice in this matter will be of relatively little use. Ontario Health Insurance Plan, in my experience, rarely covers gynecomastia anymore. There must be significant and documented blood tests showing hormonal imbalance, endocrine tumours, significant gynecomastia with ptosis with pre-approval of photos. It is tougher to get this approved than in previous decades, but you should seek out an Ontario Health Insurance Plan physician to be an advocate for your case. It may end up that you’re not covered by insurance and you need to pay for this out of pocket or use finance companies such as iFinance Canada, also called Medicard to spread out and defray the cost of this over 60-72 months.
I hope this information is of some assistance and best of luck.
To find out more, please visit the link below.
R. Stephen Mulholland, M.D.
Certified Plastic Surgeon
You might also like...
Gyno surgery covered by OHIP?
1)breast pain that is not controlled with conservative measures and causes difficulty with physical activity.
2)breast deformity that causes psychological issues documented over six months.
Meet with a Board Certified Plastic Surgeon
Here are some guidelines about the cost of the surgery:
- Male breast reduction cost factors vary significantly for a number of good reasons: Prices vary greatly because the surgery itself encompasses a wide range of techniques that can be performed to different extents. My recommendation is to first find the most qualified surgeons where you want the surgery performed that are board certified by the American Board of Plastic Surgery you trust, then compare prices between them. See the below link on suggestions on how to find the most qualified plastic surgeon for your procedure. General Factors that influence the price of plastic surgery include:
1. Location - Will it be performed in a hospital with an overnight stay, an independent out- patient facility or a doctor’s office? Geographical location also has a significant influence. RealSelf has average charges for most areas of the USA and Canada.
2. Type of Anesthesia - local, IV sedation or General Anesthesia? Will a board certified anesthesiologist, nurse anesthetist, or an RN be used?
3. Experience and training of your surgeon. The best and longest trained is most often a plastic surgeon board certified by the American Board of Plastic Surgery
4. Length and Complexity of Surgery - how difficult will your surgery be and how long it will take, etc. Will other complementary procedures also be also performed during the same surgery?