Breast Reduction & Insurance?

Question

Hi everybody. I am a 19 year old female, and just recently got a great job @ a laboratory where they have full benefits. I currently have BCBS TX health insurance (the high plan) and I am wanting to look into having a breast reduction really soon. I am currently a 40D and have somewhat of a "hunchback" going on. I constantly find myself slouching and when I try to straighten my back up, I only do it for a second or two because the weight ends up making me slouch again. I really don't want to have back problems the older I get, but I'm afraid if I don't do something about it, then I will by the time I am 25 or so. I also have pretty obvious stretch marks on the sides of my breast from the weight. Does anyone know or have any info on how I go about having this done? Thank so much!!

Answer 1

First check your health directory for plastic surgeons. If you end up choosing a doctor out of your health plan you could pay more out of pocket.

Find out if you need a referral for a PS first. Get one from your family doctor, then talk to several PS's before choosing.

They'll take pics, ask questions, and hand in documentation to your insurance company for approval.

That usually takes 4 weeks or so, depending on how much you get on their case and keep them on their toes.

Check out this site:

http://www.breasthealthonline.com

Excellent support, picture and FAQ site.

Answer 2

The procedure should be covered if it's determined to be medically necessary.

See a doctor. He'll do an evaluation and he'll also take pictures. He'll then submit a pre-approval request to your insurance company. explaining the procedure (how much he plans to remove, etc.). Based on certain medical guidelines, the insurance company will either approve or deny the surgery. They'll send a letter to you and your doctor with their decision.

Based on the details you gave, I'd say you should probably be approved, but of course, I have no way of knowing that for sure. Only your insurance company can give you a firm yes or no.

Answer 3

I would consult your doctor and get a referral to a cosmetic surgeon. You will need to document the "need" for the surgery is for health reasons, and not cosmetic reasons.
My friends doctor helped her so a large portion of her surgery was covered, including the medications, and short term disability until she went back to work.
Good luck!

Answer 4

Breast reduction surgery is very safe nowadays. My cousin got her breast reduction, tummy tuck and facelift surgery in India by the company called Tour2india4health Consultants .The Price for the surgery she paid in India was very less. She paid 30% of the cost she was quoted in America.

Tour2india4health Consultants is very famous in India. They arrange cosmetic and plastic surgery for foreigners in India. I read a lot about them in the Newspapers and about their patient stories. They arrange financing for USA, Canadian, UK and other international patients who plan to have surgery abroad for low price, as the breast reduction, tummy tuck, facelift and other cosmetic surgery is not covered by insurance. They also have photos pasted of their International patients. You can checkout their website. There are huge cost savings. As a doctor I personally believe that surgery can be easily handled in India, as the quality of healthcare available In India is simply best in the world. The surgeons are USA/UK trained and facilities are 5 star.

http://www.tour2india4health.com
Hope this helps.