Breast reduction and coverage?

Question

Help! I am in desperate need of a breast reduction and I have the Empire plan (United Healthcare). I have seen a dermatogist, an internist, gotten back xrays, and the obgyn. I have complained and tried to get chart notes and asked for letters of medical necessity faxed to the plastic surgeon. All these doctors do is write on persciption pads and fax them. These are not enough. Or are they? Will i need physical therapy too for proof? Has anyone had the procedure without all this red tape? Any advice????

Answer 1

That should be enough, has the information been sent in yet?

I would just use all of that information and see what happens. If its denied APPEAL like crazy.

I have United Healthcare and they covered my reduction 100%. All healthcare plans are different so it may not be the case with you (especially if your pre op size is different than mine).

Good luck in your journey. Here is a very good site for you to check out as it helped me a LOT:

http://www.breasthealthonline.com

38J to 38C Feb 2006

Answer 2

1

Answer 3

I have a friend who had to battle for a year with her insurance company before they agreed to cover it. I don't know what her insurance plan is, but I'm sure that's typical.

It probably won't be easy. You'll need to really push for it and be persistent. Get on the phone and whenever they tell you it's denied, ask what the procedure is for you to appeal that decision. If they say there is none, ask to speak to a manager.

Good luck!

Answer 4

breast reduction coverage

Answer 5

2

Answer 6

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.

Answer 7

let them as they are ;)