How To Get Breast Reduction Covered By Insurance?

How To Get Breast Reduction Covered By Insurance?

Categories: Insurance, Breast Reduction, Coverage

Getting breast reduction covered by insurance can be a difficult process, but it is possible to get the procedure covered if you meet the criteria. Breast reduction surgery can be beneficial for those who suffer from physical pain, emotional distress, and self-consciousness due to large breasts. Here are a few tips to help you get your breast reduction covered by insurance.

1. First, you must contact your insurance company to find out if they cover breast reduction surgery. You may need to provide medical documentation of your symptoms and health history.

2. If your insurance company does not cover the procedure, you can still get a breast reduction by paying out-of-pocket. However, this can be expensive and you may want to consider other options.

3. If your insurance company does cover the procedure, you must meet certain criteria. This includes being at least 18 years old, having large breasts that cause physical pain, and having a Body Mass Index (BMI) of 30 or less.

4. You may also need to get a referral from your primary care physician or a psychiatrist. This is to ensure that the procedure is medically necessary and that you are a good candidate for the surgery.

5. Once you have met the criteria, you will need to get pre-authorization from your insurance company. This is to ensure that the procedure is covered and that you are not responsible for any out-of-pocket costs.

It is important to note that if the procedure is done incorrectly, there can be serious consequences. This includes infection, scarring, and asymmetrical breasts. Therefore, it is important to find a qualified and experienced surgeon who is experienced in performing breast reduction surgery.

Getting breast reduction covered by insurance can be a difficult process, but it is possible if you meet the criteria. It is important to contact your insurance company and get pre-authorization to ensure that the procedure is covered. Additionally, it is important to find a qualified and experienced surgeon to avoid any potential complications.

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