1. Reduction of the female breast: Obtaining insurance coverage …
In most cases, insurers require the surgeon write a letter describing the patient’s symptoms and physical findings, estimating the breast weight (1)
Generally speaking, breast reconstruction surgery is only covered by insurance if the procedure is deemed medically necessary, but everything is (2)…
Most UnitedHealthcare plans have a specific exclusion for breast reduction surgery except as required by the Women’s Health.(3)…
2. Breast Reduction Surgery and Gynecomastia Surgery – Aetna
Aetna considers breast reduction surgery medically necessary for non-cosmetic indications for women aged 18 or older or for whom growth is complete (i.e., (4)…
Breast Reduction Covered By Insurance | Will Insurance …
Most insurance carriers will offer breast reduction covered by insurance as long as it meets certain requirements to be deemed “medically necessary”.(5)…
Is a Breast Reduction Covered by Insurance? If a patient has been diagnosed with breast cancer that has been treated by mastectomy (either complete or by (6)…
3. Breast Reduction – Cigna
PMID: 21451367. 2. American Society of Plastic Surgeons (ASPS). Reduction Mammaplasty Recommended Insurance. Coverage for Third-Party Payer (7)…
A plastic surgeon who performs breast reduction surgery on a regular basis will work diligently with you to get your insurance company to cover (8)…
4. Breast Reduction FAQs | Washington University Physician
Some insurance companies will deny breast reduction surgery unless the BMI is <30, others <35, while others need to see documentation that the patient has (9)…
What are the criteria for coverage of a breast reduction? · Photographic documentation of “breast hypertrophy” or overgrowth. · Persistent (10)…
Insurance Requirements for Breast Reduction – Monticello, IL
Is Breast Reduction Covered by Medical Insurance? Yes, though certain conditions need to be met. In many cases, breast enhancement surgeries (11)…
Breast reduction surgery is considered cosmetic and not medically necessary for the following conditions: poor posture, breast asymmetry, pendulousness, (12)…
Financing & Insurance for Breast Reduction Richmond VA
Depending on the details of your breast reduction, your insurance may cover part or all of your surgery cost. In fact, around 75% of patients who have a (13)…
5. Breast Reduction NYC Accepted Insurance
Breast reduction plastic surgery falls into the medical insurance category of “reconstructive plastic surgery” and may be covered by your medical health (14)…
Accepted Insurance – Breast Reduction Center of NYC
Generally, many insurances will cover your breast reduction surgery if it’s for a medical necessity. However, medical insurance coverage is determined on a case (15)…
Insurance companies will often cover the full cost of breast reduction surgery if certain criteria are met. They will often ask for medical documentation of (16)…
6. How To Get A Breast Reduction Covered By Insurance
If your insurance provider initially rejects your coverage, saying that the breast reduction is cosmetic, there is still a possibility that (17)…
Plastic Surgeons, normal breast size is described as size C or smaller. MassHealth considers approval for coverage of breast reduction on an (18)…
New Jersey Breast Reduction Insurance – Renee Comizio MD
How much tissue and fat is being removed? Insurance companies will usually require the surgeon to describe the exact weight of the tissue to be removed.(19)…
Do Insurance Companies Cover Breast Reductions? The short answer to this question is yes, although certain criteria must be met depending on the insurance (20)…
7. Reduction Mammaplasty (Non-Cancerous)
BlueCross BlueShield of Tennessee Medical Policy Manual · A minimum of 500 grams of breast tissue estimated to be removed from each breast · Less than 500 grams (21)…
It is common for insurance companies to require that a certain amount of breast tissue be removed for your breast reduction to be considered medically necessary (22)…
discusses when breast reduction surgery may be covered. Reduction Mammaplasty: ASPS Recommended Insurance Coverage Criteria for Third-.(23)…
8. Breast Reduction – Cleveland Clinic
The good news is yes, in many cases. Because breast reduction can be considered medically necessary, your chances of getting insurance coverage (24)…
Breast reduction surgery is one of the few cosmetic procedures that health insurance will consider covering. Insurance requirements do vary by company and (25)…
Breast Reduction Surgery | Durham, Raleigh, NC | Duke Health
Health Insurance Coverage for Breast Reduction Surgery Breast reduction surgery is covered by many health plans. Prior to surgery, your plastic surgeon and (26)…
9. Breast Reduction Mammoplasty – Emblem Health
American Society of Plastic Surgeons. ASPS Recommended Insurance Coverage Criteria for Third Party Payers: Reduction. Mammaplasty. 2017. http:// (27)…
Breast Reduction Surgery, Salt Lake City, Utah
Is Breast Reduction Covered by Insurance? If you’re having breast reduction surgery to relieve physical problems like back or neck pain, the procedure may be (28)…
10. GEHA Coverage Policy: Reduction Mammoplasty
be used as a criterion for the determination of insurance coverage for breast reduction surgery. Some individuals, however, have argued that reduction (29)…
by TA Kung · 2018 · Cited by 4 — Many insurance carriers continue to deny coverage for reduction mammaplasty unless a minimum amount of resected breast tissue per breast is achieved during (30)…
To provide a policy of coverage regarding Reduction Mammaplasty Breast reduction of the non-affected breast following mastectomy to achieve symmetry is (31)…
Integrated Healthcare Services Effective Date – Preferred One
I. Breast reduction surgery in accordance with the Women’s Health and Cancer Rights Recommended Insurance Coverage Criteria for Third-.(32)…
Patients considering a breast reduction procedure should first check with their insurance company for pre-determination.(33)…
Ask a Surgeon – Cost of Procedure – The Aesthetic Society
Consider starting by calling your Insurance Carrier to see if Breast Reductions are a covered service. If they are ask for the list of their requirements (34)…
Many times, health insurance will cover this procedure if you meet certain criteria. Men may also opt for breast reduction for treatment of a condition (35)…
Though breast reduction can be done for cosmetic reasons, in most cases women seek breast reductions for relief from health issues caused by excessively (36)…
Insurance for Breast Reduction – KDS Aesthetics
Cosmetic procedures are not covered by insurance, while medically necessary and/or reconstructive procedures always qualify for coverage. However, for semi (37)…
SWHP/FC may consider breast reduction surgery medically necessary for non-cosmetic insurance companies and health maintenance organizations offering (38)…
Excerpt Links
(1). Reduction of the female breast: Obtaining insurance coverage …
(2). Is Breast Reduction Covered By Insurance – Dr. Scot Glasberg
(3). Breast Reduction Surgery – UHCprovider.com
(4). Breast Reduction Surgery and Gynecomastia Surgery – Aetna
(5). Breast Reduction Covered By Insurance | Will Insurance …
(6). Does Insurance Cover Breast Reductions? – North Raleigh …
(7). Breast Reduction – Cigna
(8). Steps to Take to Get Your Breast Reduction Covered by …
(9). Breast Reduction FAQs | Washington University Physician
(10). How to Get Your Breast Reduction Covered By Insurance
(11). Insurance Requirements for Breast Reduction – Monticello, IL
(12). CG-SURG-71 Reduction Mammaplasty
(13). Financing & Insurance for Breast Reduction Richmond VA
(14). Breast Reduction NYC Accepted Insurance
(15). Accepted Insurance – Breast Reduction Center of NYC
(16). Breast Reduction Insurance Coverage – Fairfield County …
(17). How To Get A Breast Reduction Covered By Insurance
(18). Guidelines for Medical Necessity Determination for Reduction …
(19). New Jersey Breast Reduction Insurance – Renee Comizio MD
(20). Breast Reduction Insurance Coverage – Los Angeles
(21). Reduction Mammaplasty (Non-Cancerous)
(22). Will Insurance Cover Breast Reduction Surgery? | Allina Health
(23). 7.01.503 Breast Reduction (Mammaplasty) – Premera Blue …
(24). Breast Reduction – Cleveland Clinic
(25). Breast Reduction and Insurance: Making Sure You Get Covered
(26). Breast Reduction Surgery | Durham, Raleigh, NC | Duke Health
(27). Breast Reduction Mammoplasty – Emblem Health
(28). Breast Reduction Surgery, Salt Lake City, Utah
(29). GEHA Coverage Policy: Reduction Mammoplasty
(30). Accuracy of Predicted Resection Weights in Breast Reduction …
(31). Geisinger Health Plan Policies and Procedure Manual
(32). Integrated Healthcare Services Effective Date – Preferred One
(33). Breast Reduction Insurance Information – Baylor College of …
(34). Ask a Surgeon – Cost of Procedure – The Aesthetic Society
(35). Breast Reduction | Johns Hopkins Department of Plastic …
(36). Breast Reduction and Insurance Coverage – Pacific Plastic …
(37). Insurance for Breast Reduction – KDS Aesthetics
(38). Breast Reduction Surgery PRIOR AUTHORIZATION: Required.
