Breast reduction insurance coverage request

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For the best experience on htmlWebpackPlugin. Breast reduction surgery reduction mammoplasty removes some of the tissue and skin from the breasts to reshape and reduce the size of the breasts. It can also make the area of dark skin surrounding the nipple areola smaller.

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Every girls dream, right? Not really. Having a D cup in your teens and a DD in your 20s is not so much fun.

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Appealing breast reduction results sometimes necessitate a breast lift mastopexy of the remaining breast tissue and nipple. Medical terms for large breasts include macromastia, gigantomastia, and breast hypertrophy. Although breast reconstruction after mastectomy is covered by most insurers, it can be difficult to get insurance coverage for a breast reduction and nearly impossible to get coverage for a lift.

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Hirsch applies his years of training and experience to every procedure he performs. From injectable fillers and body contouring to breast augmentation and facial surgery, Dr. Elliot Hirsch offers the full spectrum of plastic and reconstructive surgery to make his patients feel and look their best.

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Will insurance pay for my breast reduction surgery? In general, the answer depends on several factors. Who is having the surgery and what are their reasons?

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Breast reduction surgery, also known as reduction mammaplasty, is a procedure used to remove excess fat, tissue and skin from the breasts. If you have large breasts, you might choose to have breast reduction surgery to ease discomfort or to achieve a breast size proportionate to your body. Breast reduction surgery might also help improve your self-image and your ability to participate in physical activities.

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Many insurance carriers continue to deny coverage for reduction mammaplasty unless a minimum amount of resected breast tissue per breast is achieved during surgery. A retrospective review was performed on patients with bilateral symptomatic macromastia who sought consultation for breast reduction surgery from to Relevant demographic information, mean predicted resection weight, and the mean actual resection weight were collected for analysis.

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With a weight of and height of 5'7" and a bra size of 34G, would insurance likely pay? It certainly sounds like you are a good candidate for a Breast Reduction. Consider calling your insurance carrier to see if Breast Reductions are a covered service. Also,vask you carrier for a list of Plastic Surgeons in your area that accept their plan.

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I recently saw a female college student as a new patient consultation in my office concerning possible breast reduction surgery. This procedure, also known as reduction mammaplasty, is indicated for the treatment of symptomatic macromastia large breasts. The commonly reported symptoms related to macromastia are neck, shoulder and back pain caused by the weight of overly large breasts upon the musculoskeletal system.

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If you are considering a breast reduction procedure, be sure to check with your insurance company. Most insurance companies will request the following:. Medical record history documenting significant symptoms that interfere with activities of daily living, including but not limited to:. Long standing duration of pain in the upper back, neck and shoulders with increasing intensity and is not related to other musculoskeletal causes e.

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