I'm trying to figure out how I can get my insurance to pay for me to have a boob job. (Not because I don't have any and I just want some.) I have a what I think to be huge breasts for my age and they do cause me to have some shoulder and back pains. I am wanting to have a reduction then possible a small implant so they will still look good. How can I get my insurance to do this?
2007-11-26 10:59:12 · 12 answers · asked by -*Ashley*- 1 in Business & Finance ➔ Insurance
If your doctor recommends a reduction then your insurance will most likely cover it, though they won't cover an implant. A friend of mine had to have a reduction done as well, but there was no need for an implant. Doctors tend to do a good enough job so that you can keep everything completely natural, which is obviously the best.
2007-11-26 11:03:30 · answer #1 · answered by Anonymous · 1⤊ 0⤋
If it is causing you severe back pain, that is a valid medical condition.
You would have to get a medical doctor (NOT a plastic surgeon) to say that it's medically necessary for you to have a reduction.
It is something that many insurance companies do pay for because it's considered an abnormality and preventive care.
They won't pay for the implant, just so you know, but you may be able to cut a deal with the plastic surgeon on that aspect of it.
2007-11-26 14:15:05 · answer #2 · answered by Expert8675309 7 · 2⤊ 0⤋
Your insurance can pay for it if it is causing health issues. Mine paid 100% of it ($8,000). But I did not have an implant put in.
Breasts look good after a reduction so I really don't think they should need an implant IMO.
You will have to find out from your insurance company if they have any requirements (weight loss, chiropractic appointments, etc). Mine approved mine without any requirements thank goodness.
2007-11-29 00:25:11 · answer #3 · answered by Terri 7 · 0⤊ 1⤋
You can get coverage for the reduction, if you meet the insurer's medical criteria and get prior approval.
But there is absolutely no way that you'll get coverage for implants afterwards. The *only* way that implants are ever covered under a medical insurance policy is for post-mastectomy breast cancer patients. Period.
If you want implants after your reduction (which sounds a little insane to me, honestly), you'll have to pay for them at your own expense.
2007-11-27 12:59:05 · answer #4 · answered by sarah314 6 · 1⤊ 0⤋
Some insurance companies will pay for a reduction. You will have to speak to your doctor and health plan to find out if your's does. Be aware, that if the insurance company pays for the reduction, they will require a certain amount of material taken out from your breasts. This is the minimum amount that has to come out.
2007-11-26 11:05:08 · answer #5 · answered by Boots 7 · 1⤊ 0⤋
most insurance companies will pay for it, if the dr says its causing side effects like back problems, etc... but after a reduction, you most likely wont need implants, cause during a reduction, they lift them also.. just tell the dr to take ya down to whatever size you want, and you should be set... they will look very good after a reduction. no insurance company will pay for implants after a reduction cause they just paid to make your boobs smaller and it wouldnt make very much sense for them to do that... and even if it did make sense, insurance would never pay for implants, as not havin boobs dont cause other health problems.
2007-11-26 11:08:22 · answer #6 · answered by heather b 5 · 1⤊ 0⤋
I'd start by talking with your doctor. Let him/her determine the extent that they are causing your back problems. With your doctor's support for this, the insurance company should be more willing to pay. Especially if it can be proven that you face substantial future insurance claims as a result of your back problems.
2007-11-26 11:04:58 · answer #7 · answered by Angie 6 · 2⤊ 0⤋
Well, I don't think you'll get implants, but usually if you talk to your doctor, and the back pain is severe enough, it can get covered.
Talk to the doctor. Then call the insurance company.
2007-11-26 13:11:16 · answer #8 · answered by Anonymous 7 · 1⤊ 0⤋
Your insurance may pay for the reduction as long as you meet certain requirements and it is deemed medically necessary (i.e. back problems, etc.). Call your insurance and ask for a copy of their medical policy on the subject and bring it to your doctor.
As for the implant...that is cosmetic...you'll have to foot the bill on that one yourself.
2007-11-26 11:04:50 · answer #9 · answered by Sue 3 · 2⤊ 0⤋
No. In extremely rare cases, if a reduction is needed for medical reasons (not wanted), then insurance will pay. It will not pay if you merely want it and do not need it. It will pay for an enlargement only if it is to undo the the effect of a mastectomy that was necessary due to cancer.
2016-05-26 01:22:24 · answer #10 · answered by darlene 3 · 0⤊ 0⤋