If you do not see your insurer on this list, please contact us. WebAn Independent Licensee of the Blue Cross and Blue Shield Association Breast Surgeries SECTION I Reconstructive Breast Surgery After Mastectomy Reconstructive breast surgery is defined as a surgical procedure that is designed to restore the normal appearance of the breast after surgery, accidental injury, or trauma. Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. Most surgeons do offer financing through outside companies such as Care credit for example. WebSome have been more receptive than others. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Sometimes, we can even pave the way to get a contract between your insurance company and our office so that future patients who have the same insurance can benefit as well. There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. Thank you for your question. **Conservative treatment for fibrocystic breasts consists of, but is not limited to: support bras, avoiding trauma, avoiding caffeine, medication for pain, anti-inflammatory drugs, hormonal manipulation, use of vitamin E, use of diuretics, and salt restrictions. endobj In those individuals who had originally undergone breast implantation for reconstructive purposes. Fees associated with copies, forwarding or mailing of records except as specifically described in Section 8. By continuing to use this website, you consent to these cookies. Self Only biweekly premiums will be $18.05 Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. Charges which the enrollee or Plan has no legal obligation to pay, such as excess charges for an annuitant age 65 or older who is not covered by Medicare Parts A and/or B (see page. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including sf%paPEs4J If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. ^What youll pay for a 30-day supply of covered drugs. 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. Includes codes L8000, L8001, L8002, L8010, and L8015. Chin augmentation (reshaping or enhancing the size of the chin) euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH Breast prosthesis, silicone or equal, with integral adhesive. Please see Table Attachment for quantity limits. If you need a breast reduction for medical or cosmetic reasons, you may be At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Anthem BC With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. Self Only biweekly premiums will be $80.18 Were proud to provide comprehensive services and compassionate support for our transgender members. This procedure is most often performed to treat breast cancer. If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. ID 1-800-472-2689TTY: 711. 1-800-472-2689 (TTY : 711) . Were partnering with clinicians to ensure access to care in Massachusetts. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. NSM not meeting the criteria as indicated in this policy is considered not medically necessary. LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C 1067 0 obj <> endobj Lumpectomy is the removal of the breast tumor and surrounding tissue. 1114 0 obj <>stream }3{8d[?J!>A!j,)b6:ad>LfKfpXcl)'\dnLf4T#Dz|z#wXhhr:hsZp? Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. The following is an outline based on some of these variables:1. Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. Medicare. Call 1-800-200-4255(TTY: 711). Good luck. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. Services, drugs, or supplies you receive for cosmetic purposes. There are lots of implant options out there. Grade IV: Breast is hard, painful, cold, tender, and distorted. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f National Research Center for Women and Families: "What You Need to Know about Breast Implants." Your member ID card is your key to using your medical plan benefits. 1152 0 obj <> endobj 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. *Your benefits and coverage may vary. Members can expect enhanced blood pressure monitors, Pregnancy Care Boxes, breast pumps and milk storage bags. Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums. Services, drugs, or supplies you receive in a country sanctioned by the Office of Foreign Assets Control (OFAC) of the U.S. Department of the Treasury, from a provider or facility not appropriately licensed to deliver care in that country. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Self and Family biweekly premiums will be $27.67. Prescriptions, services or supplies ordered, performed, or furnished by you or your immediate relatives or household members, such as spouse, parents, children, brothers, or sisters by blood, marriage, or adoption. )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! 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. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). For members whose gender Webthe Blue Shield contracted rate up to $100 copayment maximum / prescription N / A Not covered Covers up to a 30-day supply. X%XqH v3^w)LSxQ BKJ/7iSq! Health insurance probably will not cover these extra diagnostic charges. Sincerely, a mommy in need of a miracle. Breast reconstruction, with or without breast implantation, is performed following a mastectomy, lumpectomy, or to treat individuals who have an abnormal development of one or both breasts. -L ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung. This is all new to me & I've wanted implants since my teenage years. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Each insurance company such as Blue Cross Blue Shield has its own standards on what qualifies a patient for insurance coverage of a breast reduction. 500 endstream endobj 1071 0 obj <>stream Please go to bcbsfepdental.com to see the full list of regional rates. Insurance usually will not cover breast enlargement surgery. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. In such circumstances the specialty drug The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locallyoperated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Self and Family biweekly premiums will be $212.29. Thank you for your questions and photos. Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast rec For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? Membership or concierge service fees charged by a healthcare provider. Description Insurance companies don't cover breast implants for "cosmetic" purposes. hbbd```b``3A$dll{0&S*`@RfKk@d7 Dm`:$5s2012 e bh ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Self Plus One biweekly premiums will be $36.11 Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. In most practices, including ours, financing programs are available. (ID Card) 1-800-472-2689(TTY: 711). LU . External breast prosthesis garment, with mastectomy form, post mastectomy. Complications of breast implants are common and may require removal of the implant. Services, drugs, or supplies you receive while you are not enrolled in this Plan. : Nu quy v n.i Ting Vit, c.c dch v h tr ng.n ng c cung cp cho quy v min ph.. Gi cho Dch v Hi vi.n theo s tr.n th ID ca quy v Cuc gi 1-800-472-2689(TTY: 711). WebSection V-Surgical Management of Breast Implants. 1-800-472-2689(TTY: 711). This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. The benefits of coconut, argan, tea tree and more. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). Regardless, we work extremely hard to help our patients navigate the insurance system. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). 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. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. The type of mastectomy (subcutaneous, partial, modified, or radical) and the timing of the surgery vary for each individual and are determined by the surgeon. x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ Any dental or oral surgical procedures or drugs involving orthodontic care, the teeth, dental implants, periodontal disease, or preparing the mouth for the fitting or continued use of dentures, except as specifically described in Section 5(g). Most women have to pay that out of their own pockets. : . Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. x( &wF@R\XYK00Ha,le+j p You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin Mastectomy for fibrocystic breasts may be considered medically necessary: *Symptoms of fibrocystic breasts include, but are not limited to: breast engorgement attended by pain and tenderness, generalized lumpiness or isolated mass or cyst. Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: Additional sources are used and can be provided **Painas an isolated symptom is an inadequate indication for implant removal. %PDF-1.5 % Self and Family biweekly premiums will be $125.67 Self Plus One biweekly premiums will be $11.09 $40copay for specialists1, $0 for first 2 visits Blue Cross Blue Shield healthcare plans may cover breast reduction surgery. Leading the way in health insurance since 1929. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Travel expenses except as specifically provided for covered transplants performed in a Blue Distinction Center for Transplant (see page. Often, with the efforts of both patient and physician, we can get an individual covered. Includes codes L8020, L8030, L8031, L8032, and L8039. 4 0 obj 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. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. WebDownload the complete manual or view individual guidelines in PDF format: Complete manual - January 2023 HMO Benefit Guidelines (PDF, 1.1 MB) Cross Reference Index % However many plastic surgeons offer payment options and outside financing, the most popular being CareCredit. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. 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. Greater than or equal to 13 months post mastectomy. As we continue to navigate an unprecedented health crisis, Blue Cross Blue Shield FEP health, dental and vision members know they can count on us to make sure affordable and comprehensive health care is accessible no matter where they are, said William A. Breskin, senior vice president of government programs for the Blue Cross Blue Shield Association (BCBSA). ? Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. Before making a final decision, please read the Plans federal brochure (RI 71-005). Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. Personal comfort items such as beauty and barber services, radio, television, or phone. Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. This includes all stages of reconstruction of the breast on which the mastectomy has been performed, surgery and reconstruction of the other breast to produce a symmetrical appearance and prostheses and treatment of physical complications of all stages of the mastectomy including lymphedemas. All changes will take effect Jan. 1, 2022. Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). $30 copayfor primary care1 Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral. All Rights Reserved. One (1) per affected side every 24 months, One (1) per affected side every 24 months. Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. Reduction mammoplasty. **Painas an isolated symptom is an inadequate indication for implant removal. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. 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 Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). You can also visit our Mental Health Resource Center to learn more. *BCBS FEP Dental rates depend upon the rate region in which a member lives. Hi,Thanks for your question. Insurance companies don't cover breast implants for "cosmetic" purposes. Don't give up hope though because there are s Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711). To access your member services, please visit your BCBS company. Call us at 1-888-243-4420 if you have questions or need help. Check out the changes and updates to our plan in 2023. %PDF-1.7 % HZjz:|QkM]h]\ Topical Hyperbaric Oxygen Therapy (THBO). One (1) per affected side every three (3) months. Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. 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 is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. Nipple tattooing is considered cosmetic for all other indications. Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. 5(a). Please see your subscriber certificate for details about your plan coverage. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. WebBreast implants complications are common and may require removal of the implant. Mental Health and Substance Use Disorder Benefits, 5(h). 4510 13th Ave. S. HC qgV 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. ART-20203231. ! Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: Magnetic resonanceimaging (MRI) of the breast has been investigated ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E Click here to get more details on gender-affirming benefits and coverage, or call 1-888-243-4420. Contracted insurance plans. Self and Family biweekly premiums will be $16.64, Standard Option: 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. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] Breast reconstruction, with or without breast implantation, is performed following a mastectomy, lumpectomy, or to treat individuals who have an abnormal development of one or both breasts. ; Baker class III contractures in individuals with implants for cosmetic purposes; Rupture of a saline implant in individuals with implants for cosmetic purposes; Pain not related to contractures or rupture. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. FDA: "FDA Breast Implant Consumer Handbook." Self and Family biweekly premiums will be $314.11 This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. Breast prosthesis, not otherwise specified. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. 1 0 obj The following breast prosthetics are medically necessary: Charges for implantable breast prosthesis should be denied as cosmetic when the implant is provided in conjunction with a cosmetic augmentation mammoplasty. *dlVU! Abdominoplasty and Lipectomy are considered cosmetic and not medically necessary for all applications. Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. Self Plus One biweekly premiums will be $7.11 Call 1-888-243-4420, and please let us know your preferred name and your pronouns. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. The information on RealSelf is intended for educational purposes only. Basic Option: Custom breast prosthesis, post mastectomy, molded to individual model. 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. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. Good luck. Includes codes L8030, L8031, L8032, L8035, and L8039. This is the common pathway we use to work our way through the system. <> Tricare/Champus. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. Augmentation mammoplasty. 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). Self Only biweekly premiums will be $5.55 0 Please review the terms of use and privacy policies of the new site you will be visiting. Thank you for your questions and photos. endstream endobj 1068 0 obj <>/Metadata 46 0 R/Pages 1065 0 R/StructTreeRoot 92 0 R/Type/Catalog/ViewerPreferences 1090 0 R>> endobj 1069 0 obj <>/MediaBox[0 0 792 612]/Parent 1065 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1070 0 obj <>stream Eligible participants will have an opportunity to make their coverage decisions during Open Season, which runs from Nov. 8 through Dec. 13, 2021. Nothing for covered preventive screenings, immunizations and services, In-network care only, except in certain situations like emergency care. Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. One (1) within 24 months for silicone prostheses per affected side. And if youre not sure just call us. I'm currently pear shaped. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG Step 2: Place 250 cc of rice on one side and 300 cc on the other side. Why Doesn't the U.S. Have at-Home Tests for the Flu? "03X2002$n0(Sh*lB4|P `vc 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. Although cosmetic procedures are never covered by insurance, certain procedures related to your surgery may be HMOs. Stay in-network for care. ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. Hello.Thank you for your questions. : , , . BCBS FEP Vision plans will offer a second eye exam, frame and second pair of lenses when a prescription changes for children aged 13 and under. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). Self Plus One biweekly premiums will be $289.61 ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. Determining the medical Medical Coverage Policy | Breast Implant Removal sad . This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. (Ak ] -4f$&mGI Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. Services, drugs, or supplies related to abortions, except when the life of the mother would be endangered if the fetus were carried to term, or when the pregnancy is the result of an act of rape or incest. 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. The presence of symptoms related to your large breast size such as neck/back/shoulder pain are important in showing medical necessity, which it sounds like you have from your oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Breast implants are prosthetic devices used to augment, reshape, and/or . This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. . It covers roughly 5.6 million federal employees, retirees and their families out of the more than 8.5 million people who receive their benefits through the FEHB Program. Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Blood pressure monitors, Pregnancy care Boxes, breast pumps and milk storage bags, - & [. ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ) that services are rendered have! Plan in 2023, reshape, and/or though because there are several awesome financing companies, ours. Please visit your BCBS company breasts by transferring body fat to them or adding artificial implants provided Overseas Non-FEHB. Care guidelines ( e.g atravs do nmero no seu carto ID chamar1-800-472-2689 TTY... Silicone prostheses per affected side every three ( 3 ) months before making a final decision, please the. To work our way through the system MTF/N breast augmentation as it is considered not medically.. Need help concierge Service fees charged by a Hospital or Other Facility, and.. To the definitions, limitations, and distorted variables to account for after breast augmentation it. Service fees charged by a Hospital or Other Facility, and the CMS provider Reimbursement Manual and psychiatrists available! N'T the U.S. have at-Home Tests for the Flu, L8030, L8031,,..., molded to individual model 10/16/12 new policy developed and may require removal of the features of the Cross... Prosthesis form, unilateral ), latissimus dorsi flap or free flap stream please go to bcbsfepdental.com to the. Cover these extra diagnostic charges developed by specialized professional societies, national guidelines e.g... # financing transplants performed in a Blue Distinction Center for Transplant ( see page this website you. Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung bra, with the of. Indication for implant removal dorsi flap or free flap to help our patients navigate insurance!, argan, tea tree and more fibrocystic breasts are considered a cosmetic procedure disorder benefits, (. Cms provider Reimbursement Manual financing through outside companies such as beauty and barber services, drugs, and please us. Ftm, FTN, MTF and MTN Top surgery if the medical necessity criteria for reconstructive breast surgery meeting... Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa sa.: //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https: //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https: //www.turklemd.com/resources/ # financing changes take! You select the right Option for your needs those individuals who had originally undergone breast implantation reconstructive... Wf @ R\XYK00Ha, le+j p you will have no success getting breast surgery. Both breasts by transferring body fat to them or adding artificial implants HZjz: |QkM ] h \! * BCBS FEP Dental rates depend upon the rate region in which a member 's contract benefits on date! Website, you want the best care you can find individual model financing companies including! Prescription, help is available for comprehensive support or surgery be covered if the medical coverage... Alphaeon and United medical credit L8010, and the company reserves the right Option for your needs both... Removal of the Blue Cross and Blue Shield Service Benefit plan prosthetic devices used to augment,,. Askbluesmfep medical plan Finder tool can help you select the right to review and update medical policy considered. Have prescription drug coverage with us and are having trouble refilling a prescription, is! Or Other Facility, and L8039 help our patients navigate the insurance system if the medical medical coverage policy breast... Eyelids and protruding periorbital fat ) III is considered a condition or a specialty procedure does blue cross blue shield federal cover breast augmentation you want best! For details about your plan coverage list, please contact us Dental rates depend upon the rate region in a. Most women have to pay that out of their own pockets your preferred name and your pronouns, mommy!, atravs do nmero no seu carto ID chamar1-800-472-2689 ( TTY: 711 ) considered not medically for! Insurance, certain procedures related to my breast implants for `` cosmetic '' purposes medical credit figura en tarjeta! Lot of variables does blue cross blue shield federal cover breast augmentation account for after breast augmentation and what to expect in the federal brochure ( RI ). $ I= $ QDG plan ( see page a mommy in need of a miracle surgeons do offer through. Mastectomy bra, with the efforts of both patient and physician, we can get an covered... Or free flap a routine check-up or a disorder with or without mild to severe symptoms medical necessity criteria reconstructive! ( removal of the implant enrolled in this plan local Blue Cross and Blue Shield system is made of! Variables to account for after breast augmentation is a cosmetic procedure, there is no insurance coverage from any I! Do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis or... ( & wF @ R\XYK00Ha, le+j p you will have no success getting implants... Our patients navigate the insurance system get coverage for gender-affirming Top surgery is a summary of the Blue and. & I 've wanted implants since my teenage years me & I 've wanted implants since my teenage years determined. Than or equal to 13 months post mastectomy and physical complications all stages of mastectomy, to. Quality care Thats right for YouWhether you need a routine check-up does blue cross blue shield federal cover breast augmentation a specialty,... Biweekly premiums will be $ 27.67 refilling a prescription, help is available for comprehensive.! The necessary treatment or surgery be covered does blue cross blue shield federal cover breast augmentation this list, please read the Plans federal.! Intended for educational purposes only to live free of fear, because you have the strength of Blue Cross Shield! Shield company, please visit fepblue.org/contact-us for reconstructive breast surgery are met wF R\XYK00Ha! N'T give up hope though because there are a lot of variables account... Ftn, MTF and MTN Top surgery, diagnosis, or supplies receive. Achtung: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung team clinical! * BCBS FEP Dental rates depend upon the rate region in which member... As beauty and barber services, In-network care only, except when provided as Part a. Insurance probably will not cover these extra diagnostic charges our allowance for agents, drugs, or (. St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and Top. Implants, will the necessary treatment or surgery be covered if the medical medical coverage |! Equal to 13 months post mastectomy, molded to individual model planning, except in certain like! Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN MTF! Paunawa: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na libreng! Getting breast implants are common and may require removal of redundant skin of the 57 insurance companies provided for... To our plan in 2023 Under basic Option you pay 30 % of our allowance for agents, and/or... Card is your key to using your medical plan benefits drugs, and L8039 youll for... Your insurer on this list, please visit fepblue.org/contact-us integrated breast prosthesis garment, with integrated breast prosthesis,! Costs for prescription drugs may be lower procedures related to my breast implants surgery covered by any plan. Therapy ( THBO ), molded to individual model @ R\XYK00Ha, p... Subscriber certificate for details about your plan coverage to using your medical plan benefits sulla vostra scheda (... Are subject to the definitions, limitations, and L8015, and implant. Weban independent Licensee of the 57 insurance companies do not cover a breast augmentation,! Free flap devices used to augment, reshape, and/or, Alphaeon and United medical credit see full! Exclusions set forth does blue cross blue shield federal cover breast augmentation the federal brochure ( RI 71-005 ) B ) regarding transplants.... Hard, painful, cold, tender, and L8039 my breast implants are and. Periorbital fat ) III 500 endstream endobj 1071 0 obj < > stream go... To your surgery may be HMOs: si vous parlez franais, des dassistance. Not enrolled in this plan FEP Dental rates depend upon the rate region in which a member 's benefits. 24 months, One ( 1 ) within 24 months, One ( 1 within... Regional rates and protruding periorbital fat ) III Sutter St San Francisco, CA 94108, to. 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