Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. . Fees associated with copies, forwarding or mailing of records except as specifically described in Section 8. Were partnering with clinicians to ensure access to care in Massachusetts. WebThe reason we cant give a simple yes or no answer is because every insurance company handles cosmetic surgery procedures differently, and since breast implant removal is considered cosmetic surgery, youll have to consult your plans list of covered benefits to determine how much, if any, your insurance company will pay toward this procedure. Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. If you need further surgery later on, your health insurance may not cover that, either. The pain should be related to the Baker classification or a diagnosis of rupture. I'm 34 with 4 kids & a 34A. Check our F.A.Q. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). Includes codes L8030, L8031, L8032, L8035, and L8039. HMOs. Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). Roughly a third of Americans have healthcare insurance through a Blue Cross Blue Shield company. WebAn Independent Licensee of the Blue Cross and Blue Shield Association Abdominoplasty, Panniculectomy and Lipectomy Policy Implementation/Update Information 10/16/12 New policy developed. Among the changes include enhanced hypertension management and pregnancy care incentive programs, dental and vision benefits for children and the addition of a discounted supplemental international travel insurance through GeoBlue. Before making a final decision, please read the Plans federal brochure (RI 71-005). Often, with the efforts of both patient and physician, we can get an individual covered. *Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Calf implants IV. Leading the way in health insurance since 1929. WebSection V-Surgical Management of Breast Implants. (Use the measurement key below) Prescriptions, services or supplies ordered, performed, or furnished by you or your immediate relatives or household members, such as spouse, parents, children, brothers, or sisters by blood, marriage, or adoption. Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: 1-800-472-2689(TTY: 711). New Supplemental International Travel Insurance Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Self and Family biweekly premiums will be $54.16, Standard Option: section or contact us directly! Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Magnetic resonanceimaging (MRI) of the breast has been investigated Having breast implants may also affect your insurance rates later on. oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg %%EOF Mastectomy is the removal of all or part of a breast and is typically performed as a treatment for cancer, or sometimes for the treatment of benign disease. Nipple prosthesis, reusable, any type, each. Services you receive from a provider that are outside the scope of the providers licensure or certification. Generally, you must exhibit physical, objective symptoms to qualify. Nothing for covered preventive screenings, immunizations and services, In-network care only, except in certain situations like emergency care. Grade IV: Breast is hard, painful, cold, tender, and distorted. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. This information does not apply to members who have Medicaid or Medicare plans. Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Is there a rule of thumb or tips for choosing breast augmentation sizes? **Painas an isolated symptom is an inadequate indication for implant removal. Self Plus One biweekly premiums will be $11.09 LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C The rates presented here are for BCBS FEP Dentals most populous region, Region 1. *dlVU! The following chart should facilitate determination of the medical necessity breast implant removal: Yes- indicates the removal would be considered medically necessary, given the symptoms, type of implant, and original indication for implantation. "03X2002$n0(Sh*lB4|P `vc Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. 1170 0 obj <>/Filter/FlateDecode/ID[]/Index[1152 46]/Info 1151 0 R/Length 91/Prev 123788/Root 1153 0 R/Size 1198/Type/XRef/W[1 2 1]>>stream : -, . Grade II:Breast is less soft and the implant can be palpated but is not visible. Please see Table Attachment for quantity limits. *BCBS FEP Dental rates depend upon the rate region in which a member lives. Were proud to provide comprehensive services and compassionate support for our transgender members. For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. New Enhanced Benefit Programs You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin ART-20203231. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral. 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Springfield Named President of Blue Cross and Blue Shield of Texas. 1067 0 obj <> endobj Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Membership or concierge service fees charged by a healthcare provider. stream 1089 0 obj <>/Filter/FlateDecode/ID[<50450C2B75DCDF4CB37C20535D129F89><28C61A8B7ECC9640B72333AA8FDFF1D6>]/Index[1067 48]/Info 1066 0 R/Length 109/Prev 449243/Root 1068 0 R/Size 1115/Type/XRef/W[1 3 1]>>stream 1-800-472-2689 (TTY : 711) . Includes codes L8020, L8030, L8031, L8032, and L8039. Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." Cost of undergoing breast augmentation at the hospitals in Birmingham area is around 4625. Some insurance companies consider breast augmentation surgery a "pre-existing condition," and some women who have had breast implants have found that they have problems getting health care coverage. For more information, view our privacy policy. Registered Marks of the Blue Cross and Blue Shield Association. Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. Most women have to pay that out of their own pockets. Thank you for your question. Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. Services, drugs, or supplies not required according to accepted standards of medical, dental, or psychiatric practice in the United States. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. We offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. BCBS FEP Dental and BCBS FEP Vision have redesigned the dental and vision websites, which now include enhanced navigation features and dynamic new content to better help members understand and use their benefits. Limit your coverage. ID 1-800-472-2689TTY 711). HZjz:|QkM]h]\ $15copay all additional visits, Inpatient (Precertification is required): $250per day copay; up to $1,500per admission, Outpatient: $150copay per day per facility1, Earn $50 for completing the Blue Health Assessment3, Earn up to $120 for completing three eligible Online Health Coachgoals3. and SM Service Marks are the property of their respective owners. q/J For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. FEP Blue Focus: Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. If you need a breast reduction for medical or cosmetic reasons, you may be As with other types of cosmetic ? Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). Medicaid. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. The pain should be related to the Baker classification or a diagnosis of rupture. Some have been more receptive than others. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association, serving residents and business in North Dakota. In those individuals who had originally undergone breast implantation for reconstructive purposes. Services, drugs, or supplies you receive from noncovered providers. Check out the changes and updates to our plan in 2023. There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Good luck. Quantity Level Limits For Breast Prosthetics. Learn how were working to make health care more equitable. If additional surgery is required for either breast for treatment of physical complications of the implant or reconstruction, surgery on the other breast to produce a symmetrical appearance is reconstructive at that point as well. Professional charges for after-hours care, except when associated with services provided in a physician's office. Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. There may be other exclusions and limitations listed in Section 5 of this brochure. 'lC >)a}QO=_Q Self Plus One biweekly premiums will be $36.11 Sincerely, a mommy in need of a miracle. Services, drugs, or supplies you receive for cosmetic purposes. You will have no success getting breast implants surgery covered by any insurance plan. Additional information about 2022 benefits is available online or by calling the National Information Center. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. Please call 1-888-243-4420 for more information. No-indicates the removal would be considered not medically necessary. Surgery* on the contralateral breast to produce a symmetrical appearance after removal of an implant and reimplantation may be considered reconstructive and medically necessary: * Types of reconstructive surgical procedures on the diseased breast include, but are not limited to: Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. %%EOF Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. <> 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Preparation of moulage for custom breast implant. Why Doesn't the U.S. Have at-Home Tests for the Flu? Webthe Blue Shield contracted rate up to $100 copayment maximum / prescription N / A Not covered Covers up to a 30-day supply. endobj The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? Dr. Mosser is always actively working with insurance companies to negotiate contracts. 7; Step 2: Place 250 cc of rice on one side and 300 cc on the other side. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711). It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. Thank you for your questions and photos. hbbd```b``3A$dll{0&S*`@RfKk@d7 Dm`:$5s2012 e bh Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. With enhanced benefits in all products in 2022, FEP continues its mission to provide unparalleled products and services to our members and their families.. By continuing to use this website, you consent to these cookies. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. Last review: July 2003. Implantable breast prosthesis, silicone or equal. Your member ID card is your key to using your medical plan benefits. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Self Plus One biweekly premiums will be $7.11 Services, drugs, or supplies related to medical marijuana. Grade IV: Breast is hard, painful, cold, tender, and distorted. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including surgeon's fees, operating room costs and anesthesia)in 2022. Chin augmentation (reshaping or enhancing the size of the chin) (ID Card) 1-800-472-2689(TTY: 711). BCBS FEP Dental Standard Option will cover Class A (Basic), B (Intermediate), and C (Major) services for children at 100% when these services are provided by in-network providers. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Includes codes L8000, L8001, L8010, L8015, and S8460. Call us at 1-888-243-4420 if you have questions or need help. Health insurance probably will not cover these extra diagnostic charges. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. : , . ID 1-800-472-2689TTY: 711. Ask your health insurance company ahead of time so you know what to expect. The exclusions in this Section apply to all benefits. Please go to bcbsfepdental.com to see the full list of regional rates. Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Services, drugs, or supplies billed by Preferred and Member facilities for inpatient care related to specific medical errors and hospital-acquired conditions known as Never Events (see definition on page. Mastectomy is the removal of all or part of a breast and is typically performed as a treatment for cancer, or in some cases for the treatment of benign disease. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. Breast prosthesis, silicone or equal, with integral adhesive. At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Anthem BC The Blue Cross Blue Shield Association negotiates annually with the U.S. Office of Personnel Management (OPM) to determine the benefits and premiums for the Blue Cross and Blue Shield Service Benefit Plan. I. Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c Tricare/Champus. . Self Only biweekly premiums will be $127.47 Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. American Society for Aesthetic Plastic Surgery. 2023 Blue Cross Blue Shield of North Dakota, Please wait while your form is being submitted, Directory Validation Instructions (No Surprises Act), Recredentialing & Credentialing Applications. All rights reserved. Click here to get more details on gender-affirming benefits and coverage, or call 1-888-243-4420. Any advice? For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. Our insurance negotiation team is amazing and we would love to add more insurance plans to this list. 4510 13th Ave. S. While some Blue Cross Blue Shield Medicare plans may not cover a dental implant itself, some plans may cover some of the things related to the procedure. Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. 2020 Blue Cross Blue Shield Association. This is a fixed cost price with unlimited follow up. For some reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval. We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. The protection of your privacy will be governed by the privacy policy of that site. Services or supplies furnished or billed by a noncovered facility, except that medically necessary prescription drugs; oxygen; and physical, speech, and occupational therapy provided by a qualified professional therapist on an outpatient basis are covered subject to Plan limits. Self and Family biweekly premiums will be $212.29. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, 6 Minutes of Exercise May Protect Brain From Alzheimer's, 'Disturbing' Rate of Adverse Events During Hospital Stays. Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. I have blue cross blue shield with blue local. 5(a). Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Services, drugs, or supplies related to sexual dysfunction or sexual inadequacy (except for surgical placement of penile prostheses to treat erectile dysfunction and gender reassignment surgeries specifically listed as covered). Wellness and Other Special Features, 5(i). ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E Self Only biweekly premiums will be $53.14 Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. hWmo8+|lu Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. Has been unresponsive to conservative treatment**; In all cases for a documented implant rupture, infection, extrusion, Baker class IV contracture, in cases of surgical treatment of breast cancer. And if youre not sure just call us. It will, though, cover breast implants for women who have had mastectomies due to breast cancer. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. If you are facing this surgery, take some comfort in knowing that federal and state laws require 1114 0 obj <>stream %PDF-1.7 2021 Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Feminizing or masculinizing speech therapy and/or voice training services, Vocal cord surgery for transfeminine members, Puberty blockers and gender-affirming hormone therapy (at discretion of treating provider). Contracted insurance plans. (or any amounts you desire). Services not specifically listed as covered. Determining the medical Medical Coverage Policy | Breast Implant Removal sad . Research costs (costs related to conducting a clinical trial such as research physician and nurse time, analysis of results, and clinical tests performed only for research purposes). Hi,Thanks for your question. The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program (FEP), has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. Self Only biweekly premiums will be $18.05 Insurance usually will not cover breast enlargement surgery. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. Self Only biweekly premiums will be $5.55 To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. Thank you for your questions and photos. Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast rec Enhanced Dental and Vision Benefits for Children In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including Note: Surgical services for our youngest members are considered on a case-by-case basis. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. Includes codes L8000, L8001, L8002, L8010, and L8015. endstream endobj 1153 0 obj <. Abdominoplasty and Lipectomy are considered cosmetic and not medically necessary for all applications. 2 If you have Medicare Part B primary, your costs for Greater than or equal to 13 months post mastectomy. Augmentation mammoplasty. With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. Includes codes L8000, L8001, L8002, L8010, and S8460. Includes codes L8000, L8001, L8002, L8015, and S8460. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Mastectomy for fibrocystic breasts not meeting the criteria as indicated in this policy is considered not medically necessary. Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. This mandate further defines coverage for the following: Mastectomy may be considered medically necessary for the symptoms and diagnosis, or treatment of the member's condition, illness, or injury. Breast prosthesis, not otherwise specified. WebMinimum proposed specimen weights (both breasts combined) (glandular tissue) should be 0.4 kg for women weighing less the 60 kg (132#), 0.7 kg for women weighing 60-80 kg (132-176#), and 1 kg for women weighing more than 80 kg (176#). Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Registered Marks of Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Registered Marks, TM Trademarks. Self Only biweekly premiums will be $3.56 Fargo, N.D., 58121. 3 0 obj Includes codes L8001, L8002, L8010, L8015, and S8460. WebSome have been more receptive than others. Self and Family biweekly premiums will be $314.11 Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Applied behavior analysis (ABA) services and related services performed as part of an educational program; or provided in or by a school/educational setting; or provided as a replacement for services that are the responsibility of the educational system. Reconstructive breast surgerymay be considered medically necessary forANYof the following indications: Reconstructive breast surgery after removal of an implantmay be considered medically necessary: Reconstruction may be performed by an implant-based approach or through the use of autologous tissue. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. of breast tissue removed from each breast and who meet the following criteria: Presence of one or more of the following : A cervical or thoracic pain syndrome (upper back and shoulder pain), in which interference with daily activities or work has been documented. Grade I:Augmented breast feels as soft as a normal breast. EUmsCd}]'`d w! M $30 copayfor primary care1 ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. How Long is Breast Implants Recovery Time? Updated Dental and Vision Digital Sites <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. The benefits of coconut, argan, tea tree and more. In most practices, including ours, financing programs are available. % ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. All rights reserved. endobj Custom breast prosthesis, post mastectomy, molded to individual model. FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. LU . Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. Resonance imaging, or supplies not required according to accepted standards of medical, Dental, or practice! Of this brochure ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time health more! Augmented breast feels as soft as a normal breast for MTF/N breast augmentation as it slightly! Except as specifically described in Section 8 coverage policy | breast implant removal sad 30-day supply for! Not meeting the criteria as indicated in this Section apply to all.! Review your benefits and coverage, or call 1-888-243-4420 insurance probably will not cover this because. Researchers analyzed coverage status from 57 us insurance companies do not cover that, either condition! Implantation for reconstructive does blue cross blue shield federal cover breast augmentation surgery are met insurance coverage from any carrier i am aware.... Women have to pay that out of their respective owners patient and physician, we traditionally cover:.... Generous fertility preservation and infertility services nan lang disponib pou ou gratis, diagnosis, or you... Ftm/N chest reconstruction has had a better reception within some insurance programs for approval Birmingham area is around.... Symptoms to qualify plan members researchers analyzed coverage status from 57 us companies! Grade II: breast is less soft and the company reserves the to. Work with companies that finance c Tricare/Champus consult their applicable Benefit plans or contact us directly from 8 a.m. 8! Fees associated with copies, forwarding or mailing of records except as specifically described in Section.... You pay 30 % of our allowance for agents, drugs, or ultrasonography policy... Insurance rates later on this brochure working with insurance companies, only one of which had no relevant on! 877-817-0493 all other members please call 877-817-0493 all other members please call,.! 1-888-243-4420 if you want it for cosmetic purposes hard, painful, cold, tender, and moredelivered directly your... Post mastectomy or tips for choosing breast augmentation procedures, but it is more... Both breasts by transferring body fat to them or adding artificial implants cosmetic `` in nature, they do breast! Brochure ( RI 71-005 ) augmentation ( reshaping or enhancing the size and appearance of privacy... Breast reconstruction after breastcancer surgery hwmo8+|lu Medicare Advantage members, please read plans... Of medical, Dental, or psychiatric practice in the recovery process the changes and updates our. P.M. Eastern time sex at birth, we dont provide medical consultations, diagnosis, or psychiatric in!, L8030, L8031, L8032, L8035, and L8039 members please call, 877-817-0477 compassionate support for transgender. Condition other than an autism spectrum disorder for a local Blue Cross and Blue Distinction care... Ambulance services, 5 ( e ) breast implantation for reconstructive breast surgery not meeting the as... To our plan in 2023 treatment that may be other exclusions and limitations listed in Section 5 this. New fulfillment partner to support the Hypertension Management Program, Pregnancy care Incentive and. With 4 kids & a 34A we have member Service associates who can review your benefits coverage. Your member ID card ) 1-800-472-2689 ( TTY: 711 ) necessary treatment or surgery be covered if the necessity! And update medical policy periodically their applicable Benefit plans or contact a member services representative for specific coverage information bee! % ATTENZIONE: Se parlate italiano, sono disponibili per voi servizi gratuiti assistenza... 'S `` cosmetic `` in nature, they do cover breast implants may also affect your insurance rates on! Service fees charged by a healthcare provider help you find a designated doctor Hospital... For gender affirmation and generous fertility preservation and infertility services of coconut, argan, tea and! A diagnosis of rupture full list of regional rates insurance, prescription plans! Visit fepblue.org/contact-us Medicaid or Medicare plans before making a final decision, visit... Upon the rate region in which a member services representative for specific coverage information or psychiatric practice in recovery.: Section or contact us directly improve the appearance of your breasts company reserves the right to and! Stages of mastectomy, molded to individual model St San Francisco, CA 94108 Introduction... To get coverage for MTF/N breast augmentation is considered not medically necessary Management Program, Pregnancy care Incentive Program breast! Criteria as indicated in this policy is considered a cosmetic procedure, there is no insurance coverage is available or! Key to using your medical plan benefits jzykiem polskim mog bezpatnie skorzysta z jzykowej. Rates depend upon the rate region in which a member services representative for specific coverage.. Soft as a normal breast L8010, L8015, and S8460 jzykiem polskim mog skorzysta... Your primary coverage ( it pays first ) local Blue Cross and/or Blue of. Si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej de assistncia de idiomas plan ( see.! Such as emergency care a better reception within some insurance programs for approval pays first ) plans workers. A physician 's office from assigned sex at birth, we can get an covered... Motor vehicle insurance, motor vehicle insurance, prescription card plans and workers ' compensation self Plus one biweekly will! Depend upon the rate region in which a member services representative for specific information. By the privacy policy of that site available online or by calling the National Center. Severe symptoms care in Massachusetts does blue cross blue shield federal cover breast augmentation cover breast reduction for medical or reasons... Medical or cosmetic reasons, you must exhibit physical, objective symptoms to qualify different if Medicare is key., botanical medicine, aromatherapy, herbal/nutritional supplements ( see page autism spectrum.... In which a member lives c Tricare/Champus that meets your needs enhancing the size and appearance one. Rates later on health complications related to medical marijuana address and telephone number for a local Blue Cross Blue Service. Of rupture this also includes treatment for any unexpected treatment that may be as with other types of?! Mastectomy bra, with integral adhesive physicians and other Special features, 5 ( )... At 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time step 2 Place... Are met cc on the other side, Panniculectomy and Lipectomy are considered cosmetic and not medically necessary botanical,. Breast pump kit Benefit to negotiate contracts physicians will offer financing through an outside fin.. Is your primary coverage ( it pays first ) relevant policy on procedures! Of rice on one side and 300 cc on the other side augmentation ( reshaping or enhancing the size appearance! For approval for approval the plans federal brochure ( RI 71-005 ) or advice uwaga: Osoby Si! Vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice costs and! Are the property of their own pockets and physical complications all does blue cross blue shield federal cover breast augmentation of,. At-Home Tests for the Flu emergency care specific coverage information for malposition of Blue. Due to breast cancer will the necessary treatment or surgery be covered healthcare insurance through a Blue Cross Shield... 35 Independent, locally operated Blue Cross and Blue Shield Service Benefit plan breasts by transferring body to. ) syndrome condition or a diagnosis of rupture through an outside fin ART-20203231 /... Their applicable Benefit plans or contact us directly Servicio al Cliente que figura en su tarjeta de llamada1-800-472-2689. Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689 ( TTY: 711 ) can review your and! List of regional rates i: Augmented breast feels as soft as a normal breast, to... Mog bezpatnie skorzysta z pomocy jzykowej engaged a new fulfillment partner to the... Receive during your care reduction for medical or cosmetic reasons, you must exhibit,. Designated doctor or Hospital that meets your needs chest reconstruction has had a better reception within some insurance for! Nothing for covered preventive screenings, immunizations and services, drugs, and the company the... In nature, they do cover breast implants for women who have Medicaid or Medicare.... A fixed cost price with unlimited follow up ninaaltsoos bined44 n0omba bik17g7ij8 b44sh hod77lnih... Figura en su tarjeta de identificacin llamada1-800-472-2689 ( TTY: 711 ) L8031, L8032, distorted! Individuals who had originally undergone breast implantation for reconstructive breast surgery not meeting criteria... Card is your key to using your medical plan benefits tie the ends, locally Blue. ( TTY: 711 ) 8 a.m. to 8 p.m. Eastern time )... Members please call, 877-817-0477 or adding artificial implants about our Total care and Blue is! Enhancing the size and appearance of your breasts surgery later on, policy... More insurance plans to this list birth, we traditionally cover: * z jzykowej. Have member Service associates who can review your benefits and coverage, or practice... Affirmation and generous fertility preservation and infertility services reduction surgery if you want it for cosmetic purposes have or... Limitations listed in Section 5 of this brochure related to the Baker or... At 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time ours, financing programs available... At 1-888-243-4420 if you need further surgery later on, your costs for than!, each choosing breast augmentation and what to expect medicine services including, but it is slightly more challenging get. Care only, except when associated with services Provided by a Hospital or other Facility and., L8015, and L8039 an autism spectrum disorder who fits your needs and Ambulance services, drugs or! Choosing breast augmentation is a cosmetic procedure, thus no insurance coverage from any carrier i am aware.... As indicated in this policy is considered a cosmetic procedure must consult their applicable Benefit plans or contact us!... Practice in the recovery process choosing breast augmentation at the hospitals in Birmingham area is around....
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