Are there any plastic surgeons that accept Blue Cross/Blue Shield?

Many surgeons accept Blue Cross. However, this would not be expected to cover breast augmentation or abdominoplasty. It may cover the cost of a hernia repair. The easiest way is to get on your telephone and called local plastic surgeon offices that are in your area and that you would be willing to have perform your surgery for a consultation and a discussion.

I recommend contacting your insurance carrier to find plastic surgeons who are in your network.  Please note the insurance will only cover the hernia repair portion.  The breast augmentation and tummy tuck are considered cosmetic and will not be covered by insurance.

Unfortunately, each insurance company has their own criteria. Large breasts (macromastia) or breast hypertrophy can occur in a variety of conditions (family trait, post pregnancy, excessive adolescent growth). In general when the excessive breast size causes functional problems, insurance will generally pay for the operation if more than 400 – 500 grams are removed from each breast dependent on your individual insurance company requirements. These problems may include neck pain, back or shoulder pain, hygiene difficulty, and breast pain. Other problems which are less likely to be covered by insurance include skin irritation, skeletal deformity, breathing problems, psychological/emotional problems, and interference with normal daily activities. Pre-authorization by the insurance company is required prior to surgery, and the process takes approximately one month. Each insurance policy has different guidelines and exclusions.This procedure is commonly covered by insurance through insurance criteria are becoming more and more restrictive. Although we do not accept insurance, our staff will assist you in obtaining pre-authorization so that you can attempt to be reimbursed for out of pocket expenses

While insurance may cover the hernia repair, the remainder of the surgery is cosmetic and will not be covered by insurance.

Hi & thank you for your question.Insurance may cover the hernia repair but you will be responsible for the cost of  the Tummy tuck and breast augmentation. Many surgeons will do the surgeries together and submit the hernia portion to the insurance company. Contact board certified plastic surgeons in your area who participate with your health plan. Best of luck!