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.

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!

Dear Harris,    I have been in practice for over 28 years and the only abdominal hernias that were covered by insurance companies were umbilical hernia and epigastric hernia. The payments for these procedures by the insurance companies were very small, so you have to understand that most of the cost will have be covered by you. If you have good credit, you can finance the surgery through credit financing companies like Care credit , Prosper etc.    As far as your surgeries, I would recommend to separate them into two separate procedures for your safety. Patients tend to over estimate their ability to recover quickly and safely from combined painful surgeries. The result is that patients stay in bed too long , not ambulating or drinking water (so they do not have to go to the bathroom). Consequently severe complication can occur like blood clots, pneumonia, dehydration etc.    another important factor is surgeon's fatigue after long operation that can result in less than optimal outcome.   Always, consult with experienced board certified plastic surgeons who operate in accredited surgery center for your safety. Check the before and after pictures in the photo gallery, to make sure that they are numerous, consistent and attractive. Check also the 'realself' reviews for positive experience reports.               Best of luck,                            Dr Widder   

Even though your insurance will cover the hernia repair, you will still need to cover the costs of the tummy tuck and the breast augmentation. Find a board certified plastic surgeon in your area (link below) and discuss your Mommy Makeover options. His or her office should be able to walk you through the billing and work with your insurance company. Best, Dr. Nazarian

If your insurance covers hernia repair then you will still have to cover the cosmetic portion of the surgeries, i.e. : breast augmentation and abdominopalsty. Hope this helps

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.

Hi, harris50.Hernia repair is covered procedure.  However, tummy tuck and breast augmentation are elective procedures and they will not be covered by insurance.  Hernia can be repaired at the same time as tummy tuck.  Depending on your plastic surgeon's expertise, he/she may be able to repair the hernia or your plastic surgeon can work with a general surgeon to repair the hernia.Please consult a board-certified plastic surgeon first to see whether you are a good candidate for breast augmentation and tummy tuck.  Best regards.

Unlike hernia repair, insurance companies generally do not cover tummy tuck surgery. In other words, insurance companies do not consider this operation medically necessary. Best wishes.