I have already had a consultation for a reduction and the plastic surgeon is submitting my paperwork to my insurance, she said to expect it to take from 4-6 weeks before we hear anything from them. I am scared but at the same time very happy that I am finally able to get this procedure done. My only concern is : Will my insurance approve it and pay for it? Have you heard of any reasons why they won't?
2007-04-11 04:18:23 · 18 answers · asked by ♥ Lady L ♥ 3 in Health ➔ Women's Health
I have very bad back, neck and shoulder problems as well as grooves on my shoulders from where my bra has dug into my skin.
2007-04-11 04:22:48 · update #1
I had a reduction about 4 years ago. I am SO happy that I did it. My insurance paid completely for mine. Make sure that your surgeon notes any related medical issues. For example, I had indentations on my shoulders from the weight/bra straps. Secondary to that, I had parasthesis to my hands and fingers. I also had back pain. I'm very sure these things contributed to my insurance's final decision to pay for the surgery.
As far as being afraid, don't worry. It will be very sore, of course, for a while after the surgery, but then you will be very happy with the results once you heal.
Best of luck to you!
2007-04-11 04:26:11 · answer #1 · answered by kdfirekat 5 · 3⤊ 1⤋
I'm 20 and I wear a 32A--it sucks!!! But you never know how big you'll be. And an A cup is not flat for a 12 year old! When I was 12 I didn't even need a bra. If you're friends have bigger breasts than you, they're the strange ones, not you. Your body is going to change so much in the next few years that you won't believe it. I predict that you'll be just fine and you'll turn into a beautiful woman. 5'5" is a lovely height too, I wish I was that tall.
2016-05-17 09:17:37 · answer #2 · answered by audrey 3 · 0⤊ 0⤋
Being over sized in the bust area can be painful and cause all of the problems that you are having. In a lot of cases the insurance company may not want to pay for it because it is plastic surgery. HOWEVER, if your doctor can prove to the insurance company that this surgery is necessary for your health they should cover at least a part of it for you. Good luck, I hope you are feeling better soon.
2007-04-11 04:25:28 · answer #3 · answered by shadowsthathunt 6 · 2⤊ 1⤋
If your consulting doctor states that there is a physical necessity for this and that your health is compromised or impared due to this condition, insurance has no problem with approving it.
Insurance also grinds slow, thus the 4-6 week wait. They are also hoping that you will change your mind.
2007-04-11 05:41:50 · answer #4 · answered by Experto Credo 7 · 2⤊ 1⤋
Most likely they will because this is not simply cosmetic. You are facing a lifetime of back and muscle problems without the procedure, and that would be WAY more costly to an insurance company in the long run. It is in their best interest to have this procedure done now.
2007-04-11 04:22:12 · answer #5 · answered by robin0408 4 · 2⤊ 1⤋
They will definitely approve it and pay for it especially since it is affecting your health. If your doctor sent it through and sees a need for the reduction there should be no reason at all that they will not pay for it. My mom and sister in law have had to have reductions done and insurance has paid theirs. And theirs weren't as big as yours, you poor thing! :)
2007-04-11 04:28:49 · answer #6 · answered by hemlers_girl 2 · 2⤊ 1⤋
as long as you are happy, thats what counfs. i do hear what y
ou are saying, and i know that you are doing the right thing he alth wise, and all around wise. my niece, who just turned 18, j
ust breast reduction, and she looks and feel much better, she
dont complain like she used too. i thank GOD and Her Mothe
r for standing by her side all the way. ao many young people j
ust dont know and appreciate the importance of having a goo
d and caring mother on your side? i thank GOD and my sister
for loving that younglady, and all the rest of her kids, and gran
d kids. and i will tell the world that i have two of the best sister
s alive, they really do love and care for their families in whate
ver way it takes.
2007-04-11 05:19:12 · answer #7 · answered by Anonymous · 2⤊ 0⤋
You should have NO PROBLEMS getting approval. I mean. a G cup!
I was a 38J and got approved by my insurance for my breast reduction (went to a 38C).
Life is SO MUCH better.
Good luck!
IF you don't get approval (I do not see you getting turned down though) APPEAL!
Check out this site too:
http://www.breasthealthonline.com
2007-04-11 05:31:03 · answer #8 · answered by Terri 7 · 1⤊ 1⤋
IF, for some strange reason, they deny you. Gather information on the future problems that may arise by NOT getting the surgery. Then submit a comparison of the costs.
Maybe that would help.
2007-04-11 04:22:30 · answer #9 · answered by Anonymous · 2⤊ 1⤋
Usually your insurance will cover it seeing as your having back pain and you have the indents on your shoulders, I think the only reason they wouldn't cover it would be for cosmetic reasons, good luck, hope everything goes well!
2007-04-11 04:30:16 · answer #10 · answered by NurseB 2 · 2⤊ 1⤋