September 8, 1988 review date: Primary insurance provider (if not listed above in drop down) comment.
According to data compiled by the american society of plastic surgeons, the average cost of a breast reduction surgery is $5,482, which includes the following.
Breast reduction covered by insurance blue cross. As a result, individuals will notice more and more women hitting the gyms and practicing alternate techniques. Learn when to schedule screening tests, such as mammograms and pap tests, to help prevent or detect possible health concerns. Macromastia may result in clinical symptoms such as shoulder, neck, or back pain, or recurrent
Breast reduction surgery involves removal of skin, fat and breast tissue to reduce breast mass. Representation or warranty that the blue cross and blue shield service benefit plan covers (or pays for) this service or supply for a particular member. 2 body surface area (m2)* and weight of breast tissue removed [per breast] body surface area (m2) minimum grams of breast tissue to be removed 1.35 199 1.40 218 1.45 238 1.50 260 1.55 284 1.60 310 1.65 338 1.70 370 1.75 404 1.80 441
You can also review the summary of women’s care services covered by blue cross and blue shield of minnesota and blue plus plans. Breast reduction surgery is performed when excess breast mass and weight causes medical problems such as submammary intertrigo (an inflammatory condition causing redness, burning, itching, skin disintegration and cracking underneath the breast), back, neck and. Select your insurance provider blue cross blue shield emblem health oxford united healthcare cigna aetna other.
Women today realize that there are a number of issues connected with obesity. Will blue cross ppo cover for breast lift and reduction, tummy tuck due to back and neck pain problems? Your health insurance typically covers preventive care services and birth control methods.
The introduction section is for your general knowledge and is not to be taken as policy coverage criteria. Liposuction removes only fatty tissue. Whether insurance covers a breast reduction will depend upon the duration and severity of these symptoms.
Breast reduction surgery is a covered benefit if determined medically necessary by an ipa physician. Conversely, many patients believe if a procedure is considered cosmetic, it is not a medically indicated and covered procedure. Northwestern told me to choose blue precision plan 475 or 477 but i don't see that plan available, what do i do?
The presence of symptoms related to your large breast size such as neck/back/shoulder pain are important in showing medical necessity, which it sounds like you have from your description. Macromastia, or gigantomastia, is a condition that describes breast hyperplasia or hypertrophy. How to make your 1st month's 2021 bcbsil payment
If you are considering breast reduction, you should first read your insurance policy. Although, most insurance companies do provide for coverage for breast reduction surgery (which also results in a breast lift), each company has their own criteria for coverage (amount of tissue to be removed and/or the size and weight. Blue cross and blue shield of illinois, a division of health care service corporation, a mutual legal reserve company, an independent licensee of the.
Each insurance company such as blue cross blue shield has its own standards on what qualifies a patient for insurance coverage of a breast reduction. Some of the blue cross blue shield rules are under 180 pounds, larger than a dd, and have tried conservative physical therapy for the back and shoulder pain. Breast reduction surgery must be approved prior to the surgery to ensure that it is covered.
The rest of the policy uses specific words and concepts familiar to medical. Although the process of getting breast reduction surgery covered by insurance can be challenging, it can save you a considerable amount of money, provided your claim is approved. You finally got that breast reduction you’ve been wanting, you made it through the first months of recovery, and now you are enjoying the results.
Five ways to get breast reduction covered by insurance. Blue cross/blue shield policies vary from state to state Breast reduction and health insurance.
Discusses when breast reduction surgery may be covered. Does blue cross blue shield of illinois cover breast reduction surgery? It is universally believed by patients that if a surgery is considered reconstructive, it is medically indicated and covered by health insurance.
Additional benefits of reduction mammaplasty: A systematic review of the literature. The most common desire among women today is a reduction in their overall body weight.
Like many of our patients, you may even be thinking, “i should have done this years ago.” you can now look forward to all the new clothes you can buy (including strapless tops) and to the activities you previously avoided (like. It will also depend upon the insurance carrier, such as aetna ®, cigna ®, unitedhealthcare ®, or blue cross ® blue shield ®. State / province / region.
An independent licensee of the blue cross and blue shield association. April 21, 2021 next review: