clearly I have the Poland disease which is considered a birth defect. my left breast is way larger than my right OBVIOUSLY. I'm not understanding why this isn't considered an emergency because it's hard to find clothes and I'm tired of stuffing my bra with tissue and not feeling comfortable. can't we label this as something else because I definitely don't have the money to get it fixed
November 5, 2015
Answer: Breast Asymmetry Thank you for your question. Have you been diagnosed with Poland Syndrome? There is another condition called Anterior Thoracic Hypoplasia that looks like Poland Syndrome however patients still have a pectoralis muscle. I've had success with getting this condition covered by insurance but it really depends on your insurance carrier.
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November 5, 2015
Answer: Breast Asymmetry Thank you for your question. Have you been diagnosed with Poland Syndrome? There is another condition called Anterior Thoracic Hypoplasia that looks like Poland Syndrome however patients still have a pectoralis muscle. I've had success with getting this condition covered by insurance but it really depends on your insurance carrier.
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November 2, 2015
Answer: MEDICAID COVERAGE Thank you for your inquiry and the photo. It is not possible to answer whether Medicaid would cover your procedure as they do not offer the prior approval process so you would know in advance. Also, because the reimbursement from medicaid, should it be covered, is so minimal -usually less than the cost for the physician to perform the procedure- it may be difficult to find a Plastic Surgeon who is willing to assume the risks of this challenging procedure.You may benefit from visiting a Teaching institution where there is a Plastic Surgery Residency program as they maybe able to help you.Good Luck,JOhn J Obi, MD
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November 2, 2015
Answer: MEDICAID COVERAGE Thank you for your inquiry and the photo. It is not possible to answer whether Medicaid would cover your procedure as they do not offer the prior approval process so you would know in advance. Also, because the reimbursement from medicaid, should it be covered, is so minimal -usually less than the cost for the physician to perform the procedure- it may be difficult to find a Plastic Surgeon who is willing to assume the risks of this challenging procedure.You may benefit from visiting a Teaching institution where there is a Plastic Surgery Residency program as they maybe able to help you.Good Luck,JOhn J Obi, MD
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