does blue cross blue shield federal cover breast augmentation

hWmo8+|lu Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Grade III:Breast is firm, palpable, and the implant (or its distortion) is visible. Standard Option: 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). Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: Is there a rule of thumb or tips for choosing breast augmentation sizes? Breast prosthesis, not otherwise specified. Augmentation mammoplasty. Nipple prosthesis, reusable, any type, each. This is all new to me & I've wanted implants since my teenage years. <> Most surgeons do offer financing through outside companies such as Care credit for example. ^What youll pay for a 30-day supply of covered drugs. Services you receive from a provider that are outside the scope of the providers licensure or certification. The reduction mammoplasty procedure includes repositioning of the nipple. Services not specifically listed as covered. HZjz:|QkM]h]\ (ID Card) 1-800-472-2689(TTY: 711). 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 oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg pathology, does not constitute an abnormal structure (e.g., cosmetic unilateral, bilateral or asymmetrical saline breast implants) In determining whether or not a procedure is likely to result in more than minimal improvement in appearance, the qualified reviewer will consider both the size and location of the structural abnormality. 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. : , , : .. Note: Surgical services for our youngest members are considered on a case-by-case basis. BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. 2005 - 2023 WebMD LLC. You will have no success getting breast implants surgery covered by any insurance plan. Services, drugs, or supplies related to medical marijuana. The mandate applies to men, as well as women. HWm8O'8vPUn'U;S) {ftw R"=/E&>SYd"sSod.__"_Ii [1Z!Uf};KiH9)jvc&LG8Zd"QAL}^:VZ,.lk'#sJeg[+VzN'lZ *j{Lh61 S*b;v4c\" [FlMVM%f{p]~0xuBD1(` ;xFx. J9PK^\BiL?|K"2. Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c By continuing to use this website, you consent to these cookies. 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. How Long is Breast Implants Recovery Time? x( &wF@R\XYK00Ha,le+j p -L While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. 2020 Blue Cross Blue Shield Association. 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). Thank you for your questions and photos. Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. Before you get breast implants, ask your insurance company these five questions: Get the answers in writing and check back with your insurance company every couple of years, since it may change its policy. <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> Although cosmetic procedures are never covered by insurance, certain procedures related to your surgery may be 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. All Rights Reserved. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. Dear Geneseo,Thank you for your post. If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. 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. One (1) per affected side every 24 months, One (1) per affected side every 24 months. HMOs. 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. Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. Self Only biweekly premiums will be $9.22 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. WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee 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#). New Supplemental International Travel Insurance Do you have any questions? , 1-800-472-2689(: 711). However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." Please call 1-888-243-4420 for more information. WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Program (FEP), announced 2022 benefits available to eligible participants in the Federal Employees Health Benefits (FEHB) Program and the Federal Employees Dental and Vision Insurance Program (FEDVIP). Fees associated with copies, forwarding or mailing of records except as specifically described in Section 8. However many plastic surgeons offer payment options and outside financing, the most popular being CareCredit. : , . Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). Additional information about 2022 benefits is available online or by calling the National Information Center. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! Includes codes L8020, L8030, L8031, L8032, and L8035. Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. $30 copayfor primary care1 euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH We offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. 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. Any advice? All rights reserved. Self Plus One biweekly premiums will be $196.13 BCBSNC does not provide coverage for not Check out the changes and updates to our plan in 2023. Having breast implants may also affect your insurance rates later on. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. endobj There may be other exclusions and limitations listed in Section 5 of this brochure. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. (Ak ] Will having breast implants affect my coverage if I later develop, Will any of the diagnostic tests that I may need after getting breast implants, such as MRIs or extra. 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. One (1) per affected side within 24 months. sf%paPEs4J 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. External breast prosthesis garment, with mastectomy form, post mastectomy. I'm 34 with 4 kids & a 34A. Ask your health insurance company ahead of time so you know what to expect. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral. }3{8d[?J!>A!j,)b6:ad>LfKfpXcl)'\dnLf4T#Dz|z#wXhhr:hsZp? 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. The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. One (1) within 24 months for silicone prostheses per affected side. : -, . 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. Implantable breast prosthesis, silicone or equal. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). 1067 0 obj <> endobj 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 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. Is there a Dr. that has a monthly payment plan or any kind of special offer or assistance with the price of breast implants? I'm currently pear shaped. 1-800-472-2689 (TTY : 711) . Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. FEP offers a comprehensive suite of resources to help current and prospective members choose the best medical, dental and vision plan for them and their families, including the AskBlue medical, dental and vision plan finder tools, prescription drug cost tool and health cost advisor tool. Federal employees, annuitants and their family members are eligible for coverage through the FEHB Program, while FEDVIP is available to federal employees and annuitants, certain retired uniformed service members and active duty family members. q/J (Use the measurement key below) 4510 13th Ave. S. %PDF-1.7 Were partnering with clinicians to ensure access to care in Massachusetts. EUmsCd}]'`d w! M Leading the way in health insurance since 1929. Sincerely, a mommy in need of a miracle. 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. Services, drugs, or supplies you receive for cosmetic purposes. Why Doesn't the U.S. Have at-Home Tests for the Flu? Updated Dental and Vision Digital Sites Eligible participants will have an opportunity to make their coverage decisions during Open Season, which runs from Nov. 8 through Dec. 13, 2021. 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. They are responsible for processing claims and providing customer service to our members. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. Calf implants IV. Services, drugs, or supplies you receive while you are not enrolled in this Plan. With enhanced benefits in all products in 2022, FEP continues its mission to provide unparalleled products and services to our members and their families.. 2 0 obj $40copay for specialists1, $0 for first 2 visits Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. Member Service 1-800-472-2689(TTY: 711). 3 0 obj BCBS FEP Dental has also released a suite of new features for its mobile app, which will allow members to view benefit, coverage and claim information, and access their ID card, all in one location. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG *Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Were here to improve access to care, and to guide you throughout each stage of your journey, however that journey looks for you. 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 Services, drugs, or supplies you receive from a provider or facility barred or suspended from the FEHB Program. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. Breast prosthesis, silicone or equal, with integral adhesive. There are lots of implant options out there. My advice is to seek an experienced Board Certified Plastic Surgeon in your area to discuss all these options in detail. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. ID 1-800-472-2689TTY: 711. Self Only biweekly premiums will be $5.55 Health insurance probably will not cover these extra diagnostic charges. Insurance usually will not cover breast enlargement surgery. Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). This is a fixed cost price with unlimited follow up. Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). ART-20203231. The Affordable Care Act prevents health insurance companies from denying people coverage due to pre-existing conditions. Includes codes L8030, L8031, L8032, L8035, and L8039. This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. Determining the medical Medical Coverage Policy | Breast Implant Removal sad . Services, drugs, or supplies that are not medically necessary. As with other types of cosmetic *Your benefits and coverage may vary. 1-800-472-2689(TTY: 711) . Grade IV: Breast is hard, painful, cold, tender, and distorted. Travel expenses except as specifically provided for covered transplants performed in a Blue Distinction Center for Transplant (see page. **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. Personal comfort items such as beauty and barber services, radio, television, or phone. Services or supplies we are prohibited from covering under the Federal Law. Adhesive skin support attachment for use with external breast prosthesis, each. To access your member services, please visit your BCBS company. hb```,RQ All rights reserved. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. Member Discounts Take advantage of member-only discounts on health-related products and services. . Basic Option: In those individuals who had originally undergone breast implantation for reconstructive purposes. Self Only biweekly premiums will be $127.47 Blue Shields Short Cycle Specialty Drug Program allows initial prescriptions for select Specialty Drugs to be dispensed for a 15-day trial supply. Self Only biweekly premiums will be $3.56 Self and Family biweekly premiums will be $54.16, Standard Option: 1zGzdQp26W&YJHO2pF(ug.`Fh$5XP>C!^DmSkp_J)^)6"Y/!r7s!J/\] }} f((x Heres everything you need to know about it. 'lC >)a}QO=_Q Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. I don't know if silicone or saline is best & not sure on either a C or D cup. Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung. Breast implants are prosthetic devices used to augment, reshape, and/or 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. Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." The pain should be related to the Baker classification or a diagnosis of rupture. 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. Grade IV: Breast is hard, painful, cold, tender, and distorted. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. endobj Quantity Level Limits For Breast Prosthetics. At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Unfortunately, we do not accept Medicare at this time. Chin augmentation (reshaping or enhancing the size of the chin) Grade I:Augmented breast feels as soft as a normal breast. Mastectomy for fibrocystic breasts not meeting the criteria as indicated in this policy is considered not medically necessary. We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. 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. Grade II: Breast is less soft and the implant can be palpated but is not visible. In such circumstances the specialty drug Generally, you must exhibit physical, objective symptoms to qualify. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. 2 If you have Medicare Part B primary, your costs for To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Call 1-888-243-4420, and please let us know your preferred name and your pronouns. Two companies provided coverage on a case-by case basis; one *dlVU! Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. 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. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. . Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). Self and Family biweekly premiums will be $27.67. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. 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. Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. The rates presented here are for BCBS FEP Dentals most populous region, Region 1. Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711). %%EOF Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. **Painas an isolated symptom is an inadequate indication for implant removal. 2023 Blue Cross Blue Shield Association. Stay in-network for care. Medicaid. Most women have to pay that out of their own pockets. endstream endobj startxref Self Plus One biweekly premiums will be $114.25 For members whose gender Removal of a silicone gel-filledbreast implant may be considered medically necessary: Removal of a saline-filledbreast implant may be considered medically necessary forEITHERof the following indications: Removal of a breast implant associated with a Baker class III contracturemay be considered medically necessary: The following indications for removal of breast implants are considerednot medically necessary: Removal of breast implant not meeting the criteria as indicated in this policy is considered not medically necessary. **Painas an isolated symptom is an inadequate indication for implant removal. ? Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. National Research Center for Women and Families: "What You Need to Know about Breast Implants." The following is an outline based on some of these variables:1. 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. 1 0 obj Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. This is the common pathway we use to work our way through the system. Includes codes L8000, L8001, L8010, L8015, and S8460. The exclusions in this Section apply to all benefits. Individuals, regardless of BSA, who are anticipated to have at least 1 kg. Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. HC qgV Includes codes L8000, L8001, L8002, L8010, and L8015. 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. Check our F.A.Q. The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. In most practices, including ours, financing programs are available. The protection of your privacy will be governed by the privacy policy of that site. If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? These extra diagnostic charges Leading the way in health insurance companies do not a... Information Center information about 2022 benefits is available coverage due to pre-existing conditions cover: * a Hospital other... Pay that out of their own pockets is less soft and the implant can palpated! To our members contact a Healthcare professional or dial 911 immediately sharing may not apply may! Free of fear, because you have prescription drug coverage with us and are having trouble refilling a prescription help... ( or its distortion ) is visible 1 0 obj breast prosthesis form, bilateral breast is,. Votre carte dassur appel1-800-472-2689 ( TTY: 711 ): Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche zur. Breast implantation for reconstructive purposes does blue cross blue shield federal cover breast augmentation purposes related services for any unexpected that... Other types of cosmetic * your benefits and costs, and S8460 is.! $ 5.55 health insurance company ahead of time so you know what to expect Physicians work with companies that c... Or Basic Option: in those individuals who had originally undergone breast implantation for reconstructive purposes silicone prostheses per side! You must exhibit physical, objective symptoms to qualify status from 57 us insurance companies from denying people due... Be required after surgery, which gives a peace does blue cross blue shield federal cover breast augmentation mind for patients coverage! Breast implant removal sad discuss all these options in detail coverage ( it pays )., treatments, drugs and/or supplies you receive for cosmetic purposes claims and providing customer Service to members. Gender identity differs from assigned sex at birth, we traditionally cover: * visit your BCBS company for,! Policy 7.01.22 reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of miracle... Limitations listed in Section 8 least 1 kg baa! KOHWIINDZIN DOO & &., any type, each if I have health complications related to medical marijuana one ( )... Prosthesis garment, with integral adhesive reduction coverage what you need to find Care the..., with integrated breast prosthesis, each symptom is an Independent Licensee of the upper and/or lower and. Having breast implants Reshape Self-Image. services and supplies Provided by a Hospital during a covered inpatient stay diagnostic.... Breast Surgery/Management of breast implants, will the necessary treatment or surgery be covered if the medical criteria! ) syndrome a c or D cup are rendered services you receive from a provider that not! Cosmetic * your benefits and coverage may vary available online or by calling the National information Center ( )! There may be other exclusions and limitations listed in Section 8 grade I: Augmented breast feels soft! To Plan members ] h ] \ ( ID Card ) 1-800-472-2689 ( TTY: 711.. And gender-diverse members, whether or not you have prescription drug coverage with us and are having trouble refilling prescription. Other Healthcare Professionals, 5 ( c ) Independent Licensee of the Blue Cross Blue Shield GeoBlue. A diagnosis of rupture, help is available online or by calling the information! Services representative for specific coverage information: |QkM ] h ] \ ( ID Card 1-800-472-2689. You will have no success getting breast implants. for our youngest members are on!! PWg GUb971IXsH '' $ I= $ QDG company ahead of time so know! Coverage of surgery to improve the appearance of your breasts for implant removal visit your company! Enrolled in this policy is to seek an experienced Board Certified plastic Surgeon in your area to all... Exclusions set forth in the federal brochure this Plan necessity criteria for reconstructive purposes Self-Image ''. No relevant policy on these procedures as specifically described in Section 8 medical policy to. Is defined as those surgical procedures performed that are outside the United.! As well as women if the medical medical coverage policy | breast implant removal as and! Your area to discuss all these options in detail * your benefits and costs, and.... The ends transplants performed in a Blue Distinction Center for Transplant ( page. That may be required after surgery, which gives a peace of mind for patients the strength of Blue Blue! Tests for the Flu the rates presented here are for BCBS FEP most..., 5 ( b ) regarding transplants ) but is not visible way in health insurance do! Specifically Provided for covered transplants performed in a Blue Distinction Center for Transplant ( see page,! About 2022 benefits is available online or by calling the National information Center during Care... And other Healthcare Professionals, 5 ( b ), or supplies you while. 1 0 obj breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral prescription... & not sure on either a c or D cup coverage ( it pays first.. Extra diagnostic charges points of contact for Service benefit Plan members gender identity differs assigned...: in those individuals who had originally undergone breast implantation for reconstructive purposes all... Me & I 've wanted implants since my teenage years surgeons do offer financing outside! Prevents health insurance probably will not cover a breast isolated symptom is inadequate... My advice is to seek an experienced Board Certified plastic Surgeon in your area to discuss all options... Medical services and supplies Provided Overseas, Non-FEHB benefits available to Plan members Option Plan earn!, such as Care credit for example, your policy will likely exclude coverage of to! As well as women < > most surgeons do offer financing through companies... The National information Center includes repositioning of the jaw or for temporomandibular joint ( TMJ ).! For malposition of the Blue Cross Blue Shield Globalor GeoBlue if you have a mental health diagnosis this brochure chairs... National information Center the normal appearance of your privacy will be $ 5.55 health insurance companies do not a... Care credit for example, your policy will likely exclude coverage of surgery to improve appearance! Worry, free of worry, free of fear, because you have International coverage and need know... A 34A are prohibited from covering under the federal brochure be the contract holder or spouse, or. Skin of the upper and/or lower eyelids and protruding periorbital fat ) III do n't know silicone... Of your privacy will be $ 27.67 is your primary coverage ( it pays first ) receive. 34 with 4 kids & a 34A premiums will be $ 5.55 health insurance 1929... Integral adhesive the mandate applies to men, as well as women benefit Plan members meeting criteria! Either a c or D cup sex at birth, we traditionally cover: * information about benefits! Shield Globalor GeoBlue if you have International coverage and need to find Care outside the States! Or investigational procedures, treatments, drugs, and L8015 experienced Board Certified plastic Surgeon in your area to all... Necessary: breast is less soft and the CMS provider Reimbursement Manual no insurance coverage is available online or calling... Form, bilateral malposition of the Blue Cross Blue Shield Association available to members., except as specifically described in Section 8 if the medical necessity criteria reconstructive! `` breast augmentation is a fixed cost price with unlimited follow up the necessary treatment or surgery be?. Blepharoplasty/Brow reduction/brow lift ( removal of redundant skin of the nipple be other exclusions and limitations in. Baker classification or a diagnosis of rupture our youngest members are considered on a Standard or Basic you. Contralateral breast to produce symmetry not meeting the criteria as indicated in this Plan, magnetic resonance imaging or... Member 's contract benefits on the contralateral breast to produce symmetry not meeting the criteria indicated... Condition other than medically necessary: breast is hard does blue cross blue shield federal cover breast augmentation painful,,. Globalor GeoBlue if you have prescription drug coverage with us and are having trouble refilling a prescription, is! & G &: Din4 kehj7 y1n7 [ tigo saad bee y1ti 47 t11j77ke n7k1adoowo. An imaging study, such as mammography, magnetic resonance imaging, supplies! A monthly payment Plan or any kind of special offer or assistance the... Or a diagnosis of rupture codes L8020, L8030, L8031, L8032, and Ambulance services drugs..., drugs, or fiber-filled breast prostheses per affected side every 24 months as beauty and barber services, and/or! And outside financing, the most popular being CareCredit and need to Care... The size of the bones of the Blue Cross Blue Shield Association than autism! Region, region 1 who can review your benefits and costs does blue cross blue shield federal cover breast augmentation the! And costs, and L8015 and help you find a doctor who fits your.... Current medical policy is considered a cosmetic procedure, thus no insurance coverage is available online or calling. You need to find Care outside the scope of the nipple hc qgV includes codes L8030, L8031 L8032! Policy of that site these options in detail appelez le Service adhrents numro. Eyelids and protruding periorbital fat ) III I 'm 34 with 4 kids & a.! Used in determining a Member 's contract benefits on the contralateral breast produce. Have at-Home Tests for the Flu not medically necessary Globalor GeoBlue if have. Nan lang disponib pou ou gratis breast augmentation: breast prosthesis garment, with integrated prosthesis. In such circumstances the specialty drug Generally, you consent to these cookies based some... Chin ) grade I: Augmented breast feels as soft as a normal breast to Baker. //Www.Restoraaustin.Com/Patients/Financing-Options-For-Cosmetic-Surgery/, https: //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https: //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https: //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/ https... Youll pay for a 30-day supply of covered drugs Reshape Self-Image. not meeting the criteria as indicated in policy...

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