Yes, Insurance will cover a breast reduction procedure no matter the patients age if the following criteria are met. Amount of Tissue to be removed relative to height and weight (most patients go from a D or DD cup to a C cup) A letter is then sent for prior authorization by your physician.
Will my insurance will approve a breast reduction?
Yes, in reality some insurance plans are so restrictive with some services like breast reductions that it is almost impossible to get them authorized or approved. You may have to switch to a different insurance carrier.
Will straight Medicare cover the cost of a breast reduction?
If you need a breast reduction, Medicare may cover your costs. Keep in mind that: Medicare doesn’t cover cosmetic procedures. Medicare will cover breast reduction when it’s medically necessary.
Do you think insurance would pay for a breast reduction?
Typically, health insurance companies will only cover the cost of breast reduction surgery if an individual’s enlarged breasts are causing health issues. Below are some of the most common reasons for medically necessary breast reduction procedures:
Will Medicare/Caid pay for breast reduction?
Answer: Medicare or Medicaid coverage of breast reduction (reduction mammoplasty) Medicare may cover breast reductions in some instances such as yours. The issue is that Medicaid/Medicare, unlike other insurance companies, will not give offer a resposne or authorization to a predetermination of benefits letter prior to surgery.
Will my health insurance cover my breast reduction?
On the subject of whether or not your health insurance provider will cover your breast reduction procedure, this will differ depending on the health insurance company and their breast reduction requirements. There is such a thing as medically necessary breast reduction.
Are You a candidate for breast reduction surgery?
If you feel that you are a candidate for breast reduction surgery and are requesting coverage under your health insurance, it is important that you contact your health insurance carrier and have them forward to you in writing their criteria for coverage. Every insurance company has different, independent criteria and indications.
Is breast reduction insurance necessary?
Numerous studies have shown the health benefits of even small breast reductions. However, each insurance company has its own standards on what qualifies a patient for insurance coverage of a breast reduction. There are a few guidelines that most follow in showing a medical necessity for surgery.
What is a breast reduction deductible?
A deductible is the amount of money that you pay to a health insurance provider before your insurance coverage kicks in. Until you meet your deductible, your insurance provider will normally not cover some or any of your expenses. Breast Reduction Surgery: Will Your Insurance Cover The Procedure?