I'm 22 and looking to have a breast reduction. My under bust measurement is 31 inches, and around the bust is 41. This is generally considered around a 32G bra size. I am 5'5" tall and around 170 pounds. I actually fit almost all the criteria I read about but am worried because I'm a bit overweight by BMI standards. My measurements are small - waist is 30 in and my hips 38. But I just tend to be on the heavier side. Is this a barrier to getting the surgery covered? I REALLY want it.
Answer: FEP blue cross coverage for breast reduction I see many FEP patients for breast reduction out of network and they tend to have very clear criteria about what will be covered in their policy. There is also the question of whether your individual policy has coverage for breast reduction. Usually at your current weight, provided you meet their other criteria (your plastic surgeon can go over these at consultation), they would expect 600 Gm or more per breast to be removed for coverage. Your surgeon will need to estimate the amount that can be removed for you. BC will not pre approve the procedure, so it is essential to meet with an experienced plastic surgeon to determine if insurance submission is likely to cover you. It is a life changing procedure! Best wishes to you.
Helpful
Answer: FEP blue cross coverage for breast reduction I see many FEP patients for breast reduction out of network and they tend to have very clear criteria about what will be covered in their policy. There is also the question of whether your individual policy has coverage for breast reduction. Usually at your current weight, provided you meet their other criteria (your plastic surgeon can go over these at consultation), they would expect 600 Gm or more per breast to be removed for coverage. Your surgeon will need to estimate the amount that can be removed for you. BC will not pre approve the procedure, so it is essential to meet with an experienced plastic surgeon to determine if insurance submission is likely to cover you. It is a life changing procedure! Best wishes to you.
Helpful
March 26, 2016
Answer: Insurance varies Insurance companies often will cover breast reduction surgery.It involves an exam, photos, and submitting this to your insurance for pre-approval.Most plastic surgeons are familiar with this process.
Helpful 1 person found this helpful
March 26, 2016
Answer: Insurance varies Insurance companies often will cover breast reduction surgery.It involves an exam, photos, and submitting this to your insurance for pre-approval.Most plastic surgeons are familiar with this process.
Helpful 1 person found this helpful