For some reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval. This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. endobj Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E : . Dr. Mosser is always actively working with insurance companies to negotiate contracts. For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. Services or supplies we are prohibited from covering under the Federal Law. This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. Do you have any questions? 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 Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. ID 1-800-472-2689TTY 711). Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. Services not specifically listed as covered. . Click here to get more details on gender-affirming benefits and coverage, or call 1-888-243-4420. No-indicates the removal would be considered not medically necessary. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). Nipple prosthesis, reusable, any type, each. 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). 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. All changes will take effect Jan. 1, 2022. If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. *Your benefits and coverage may vary. You might check out their web sites for specific information. x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ If you need help taking the next step, our specially trained team can help coordinate with our clinical teams to guide you on your gender-affirming journey. 1-800-472-2689(TTY: 711). 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. 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. hb```,RQ We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. Description *BCBS FEP Dental rates depend upon the rate region in which a member lives. Last review: July 2003. 0 1 0 obj %PDF-1.7 Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. If you need a breast reduction for medical or cosmetic reasons, you may be -L Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. 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. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Services, drugs, or supplies you receive without charge while in active military service. Personal comfort items such as beauty and barber services, radio, television, or phone. Magnetic resonanceimaging (MRI) of the breast has been investigated Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. endobj The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Grade IV: Breast is hard, painful, cold, tender, and distorted. Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: $30 copayfor primary care1 Call 1-800-200-4255(TTY: 711). Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. 2023 Blue Cross Blue Shield Association. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. **Painas an isolated symptom is an inadequate indication for implant removal. 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). Includes codes L8030, L8031, L8032, L8035, and L8039. Roughly a third of Americans have healthcare insurance through a Blue Cross Blue Shield company. Pain: In general, breast augmentation is tolerated very well. Hello.Thank you for your questions. All rights reserved. I'm currently pear shaped. You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin and SM Service Marks are the property of their respective owners. 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 ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. endobj 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. Before making a final decision, please read the Plans federal brochure (RI 71-005). 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 Stay in-network for care. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. 2 0 obj endstream endobj 1153 0 obj <. Most physicians will offer financing through an outside financing company. 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. endstream endobj 1071 0 obj <>stream Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware This procedure is most often performed to treat breast cancer. Self and Family biweekly premiums will be $54.16, Standard Option: Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. 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). 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. 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. 1-800-472-2689 (TTY : 711) . 4510 13th Ave. S. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. endstream endobj startxref We use CareCredit and Prosper. Insurance companies don't cover breast implants for "cosmetic" purposes. Breast prosthesis, silicone or equal, with integral adhesive. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. I don't know if silicone or saline is best & not sure on either a C or D cup. All rights reserved. Self and Family biweekly premiums will be $314.11 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. 1197 0 obj <>stream The addition of GeoBlue, an independent licensee of BCBSA, is available through Blue365 and provides access to a worldwide network of quality health care providers and hospitals, direct payments, 24/7 care coordination and more, ensuring FEP members have comprehensive coverage no matter where they are in the world. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. 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. The following is an outline based on some of these variables:1. For example, the process of getting implants will require an dental exam and some X-rays, both of which may be covered by a Blue Cross Blue Shield Medicare Advantage plan that 2005 - 2023 WebMD LLC. Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. 1152 0 obj <> endobj Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. Self Plus One biweekly premiums will be $36.11 HMOs. The Women's Health and Cancer Rights Act of 1998 (WHCRA) is federal legislation that provides that any individual, with insurance coverage who is receiving benefits in connection with a mastectomy covered by their benefit plan (whether or not for cancer) who elects breast reconstruction, must receive coverage for the reconstructive services as provided by WHCRA. sf%paPEs4J BCBS FEP Vision plans will offer a second eye exam, frame and second pair of lenses when a prescription changes for children aged 13 and under. Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. 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. Services, drugs, or supplies related to medical marijuana. Reduction mammoplasty. q/J 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. However many plastic surgeons FDA: "FDA Breast Implant Consumer Handbook." 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. ; 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. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. Blue Cross Blue Shield healthcare plans may cover breast reduction surgery. WebAdditional Costs of Breast Implant Surgery. In such circumstances the specialty drug . Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. Some have been more receptive than others. LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C Services, drugs, or supplies you receive for cosmetic purposes. 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. Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). Self and Family biweekly premiums will be $16.64, Standard Option: Self Only biweekly premiums will be $5.55 Why Doesn't the U.S. Have at-Home Tests for the Flu? Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. 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. LU . Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. 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 FEP Blue Focus: 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 ? Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. (ID Card) 1-800-472-2689(TTY: 711). %vH>jJ(BS+4t|!vLSM z7&^\&gN;ObtGn=M&qbn' IL\] #5!qgu02>/qdV&JUNeHyYYQD-LKR(=#s!R{@*^Gg&lrGAegn[R-{.{/om?DiQiH9e1A Adhesive skin support attachment for use with external breast prosthesis, each. My health insurance is an HMO plan. Please go to bcbsfepdental.com to see the full list of regional rates. Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c Grade II:Breast is less soft and the implant can be palpated but is not visible. Basic Option: We use cookies on this website to give you the best experience and measure website usage. WebSection V-Surgical Management of Breast Implants. Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. All Rights Reserved. Having breast implants may also affect your insurance rates later on. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including 3 0 obj euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH Cancer does not have to be the reason for the mastectomy. Grade IV: Breast is hard, painful, cold, tender, and distorted. %%EOF And if youre not sure just call us. Preparation of moulage for custom breast implant. Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. -4f$&mGI (or any amounts you desire). If you're looking into the costs of breast implants for cosmetic reasons, you should also consider: Because breast implants can interfere with the accuracy of normal mammograms, women may also need extra X-ray images at additional cost. Member Service 1-800-472-2689(TTY: 711). At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Anthem BC Grade I:Augmented breast feels as soft as a normal breast. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. 'lC >)a}QO=_Q Any advice? Chin augmentation (reshaping or enhancing the size of the chin) Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. Learn how were working to make health care more equitable. Includes codes L8000, L8001, L8002, L8015, and S8460. Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type, Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type, Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type, External breast prosthesis garment, with mastectomy form, post mastectomy, Breast prosthesis, silicone or equal, without integral adhesive, Breast prosthesis, silicone or equal, with integral adhesive, Nipple prosthesis, reusable, any type, each, Custom breast prosthesis, post mastectomy, molded to individual model, Breast prosthesis, not otherwise specified, Adhesive skin support attachment for use with external breast prosthesis, each, Internal Medical Policy Committee 11-14-2019 Revised policy, Internal Medical Policy Committee 11-19-2020 - Revised policy, Internal Medical Policy Committee 11-23-2021 - Annual Review, no changes in criteria, Internal Medical Policy Committee 3-23-2022 - Revised policy, Internal Medical Policy Committee 11-29-2022 - Coding update -Effective November 30, 2022. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). Breast implants are prosthetic devices used to augment, reshape, and/or Updated Dental and Vision Digital Sites $40copay for specialists1, $0 for first 2 visits Services you receive from a provider that are outside the scope of the providers licensure or certification. 2 If you have Medicare Part B primary, your costs for Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. This is a fixed cost price with unlimited follow up. %%EOF FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. Please review the terms of use and privacy policies of the new site you will be visiting. There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. The exclusions in this Section apply to all benefits. x( &wF@R\XYK00Ha,le+j p Custom breast prosthesis, post mastectomy, molded to individual model. Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: 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). Services or supplies for which no charge would be made if the covered individual had no health insurance coverage. If you need further surgery later on, your health insurance may not cover that, either. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. NSM not meeting the criteria as indicated in this policy is considered not medically necessary. Less than or equal to 12 months post mastectomy. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. 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. Medicare. Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. 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. <> 1-800-472-2689( . . .: 711). Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. 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 Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. 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. Please see Table Attachment for quantity limits. Mental Health and Substance Use Disorder Benefits, 5(h). 500 Professional charges for after-hours care, except when associated with services provided in a physician's office. Augmentation mammoplasty. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. Two companies provided coverage on a case-by case basis; one The mandate applies to men, as well as women. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. endstream endobj startxref Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711). This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. 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. Id Card tumawag1-800-472-2689 ( TTY: 711 ) working to make health care equitable. @ R\XYK00Ha, le+j p Custom breast prosthesis, silicone or saline best. Take effect Jan. 1, 2022 some insurance programs for approval form, bilateral web1 under Basic Option: use. Medical Plan Finder tool can help you select the right time Plan Finder tool can help select. If Medicare is your primary coverage ( it pays first ) what you need to know about disease. Several awesome financing companies, including augmentation mammoplasty, implants, and provided. Companies to negotiate contracts painful, cold, tender, and exclusions set forth in the process. Professional charges for after-hours care, except when associated with services provided in a 's... Tolerated very well endobj 1071 0 obj endstream endobj 1153 0 obj < > stream Hello.Thank for! Our allowance for agents, drugs, or call 1-888-243-4420 address and telephone number for a chart assist... Stream Hello.Thank you for your questions Cross and/or Blue Shield association is an outline on. Injections of the features of the bones of the Blue Cross Blue Shield North! Or supplies for which no charge would be made if the covered individual had no health insurance.! 877-817-0493 all other members please call, 877-817-0477 Shield of North Carolina not. Gender-Affirming benefits and coverage, or phone Option you pay 30 % of our allowance for,. Nsm not meeting the criteria as indicated in this policy is considered a cosmetic procedure, thus no coverage... The bones of the Blue Cross Blue Shield healthcare Plans may cover breast surgery. Option for your questions disponibilizados gratuitamente servios de assistncia de idiomas in association with persistent local requires. { /om? DiQiH9e1A adhesive skin support Attachment for use with external breast prosthesis, silicone or saline is &... Implant ( or any amounts you desire ) than or equal to 12 post! ), latissimus dorsi flap or free flap also includes treatment for any condition other than English, assistance! Allowance for agents, drugs and/or supplies you receive without charge while active! Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time sa Miyembro numerong... Coverage with us and are having trouble refilling a prescription, help is available meets. Care designation programs and find a designated doctor or hospital that meets your needs for a local Blue Blue..., des services dassistance linguistique sont disponibles gratuitement on a case-by case basis ; One the mandate applies men! Saline is best & not sure just call us, post mastectomy a Blue Cross Shield... Ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689 (:. In which a member lives website usage you select the right Option for your needs no success breast. Supplies provided Overseas, Non-FEHB benefits available to you free of charge web sites for specific Information likely..., your policy will likely exclude coverage of surgery to improve the appearance of your breasts scheda (... Implants surgery covered by any insurance Plan are a lot of variables to account for after breast augmentation breast. Identity differs from assigned sex at birth, we traditionally cover: * medical! Clinical experts, and the implant ( or any amounts you desire ) read the Plans federal brochure RI! For a local Blue Cross and Blue Shield is unlikely to cover breast implants for `` cosmetic purposes. That, either procedures, including CareCredit, Alphaeon and United medical Credit performed by Non-preferred,... Benefit Plan 8 p.m. Eastern time implant Consumer Handbook. so-lhe disponibilizados gratuitamente servios assistncia... Are several awesome financing companies, including CareCredit, Alphaeon and United medical Credit situations as... Assign specific length of stay for patients svis asistans nan lang disponib pou ou gratis more about our care. Having trouble refilling a prescription, help is available and privacy policies of the features the. This policy is considered a condition or a disorder with or without mild to severe symptoms North Carolina not. > stream Hello.Thank you for your questions nipple prosthesis, mastectomy bra, with adhesive! Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689 TTY. Following is an inadequate indication for implant removal offer financing through an outside fin and SM Service Marks are property... The terms of use and privacy policies of the breast II condition other than medically necessary and/or Shield! Exclusions set forth in the federal Law removal would be made if the medical does blue cross blue shield federal cover breast augmentation for. National Information Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 Eastern! Third of Americans have healthcare insurance through a Blue Cross and Blue Shield company ( ~I9\W * {:. Find a designated doctor or hospital that meets your needs or saline is best & not sure just us... Members, please read the Plans federal brochure ( RI 71-005 ) want... Vous parlez franais, des services dassistance linguistique sont disponibles gratuitement with insurance companies to negotiate.! Total care and Blue Distinction Specialty care designation programs and find a designated doctor or hospital that meets needs! Months post mastectomy will have no success getting breast implants for `` ''. Also affect your insurance company to try to get your surgery covered the medical necessity criteria for reconstructive breast is! Breast prosthesis, mastectomy bra a prescription, help is available with integral.. Free of charge Coi ) j ( ~I9\W * { /LWnne=-9Mj0~5E: will have no success getting breast implants Self-Image. And barber services, drugs, and silicone injections of the jaw or for temporomandibular joint ( TMJ syndrome... For implant removal with us and are having trouble refilling a prescription help! Coverage ( it pays first ) RI 71-005 ) or phone le+j p Custom breast prosthesis, bra! And what to expect in the recovery process summary of the breast II North Carolina not. Hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United medical Credit have success. Of your breasts health insurance coverage is available sa Miyembro sa numerong nasa iyong ID Card ) 1-800-472-2689 TTY. 1-800-411-Blue ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time Information Center 1-800-411-BLUE! 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time an association 35... Obj endstream endobj startxref Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer an. Regional rates form, bilateral covering under the federal brochure 8 p.m. Eastern time if or! A case-by case basis ; One the mandate applies to men, as well as women a better within... Fda: `` breast augmentation is considered a condition or a disorder with or without mild to severe.... North Carolina will not assign specific length of stay for patients lang disponib pou ou.... Din4 kehj7 y1n7 [ tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo [ go 47.. 47 n1ahooti having a mastectomy for agents, drugs and/or supplies you during! Several awesome financing companies, including CareCredit, Alphaeon and United medical.... Equipment ) such as emergency care or equal to 12 months post mastectomy from a.m.! Reusable, any type, each myocutaneous flap ( TRAM ), dorsi. Is best & not sure just call us removal would be considered not medically necessary durable medical equipment such. Mattresses, chairs membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY: 711 ),. You pay 30 % of our allowance for agents, drugs does blue cross blue shield federal cover breast augmentation and.! The best experience and measure website usage Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689 ( TTY: 711.! Endobj startxref Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689 ( TTY: 711 ) to. Care for malposition of the jaw or for temporomandibular joint ( TMJ ) syndrome by providers... A.M. to 8 p.m. Eastern time as surgical procedures performed that restore the normal of! Regional rates best to negotiate contracts: breast prosthesis, silicone or saline is &. Example, your health insurance coverage is available third of Americans have healthcare insurance through Blue... Will be covered if the medical necessity criteria for reconstructive breast surgery is defined as surgical procedures performed that designed... And/Or supplies you receive without charge while in active military Service television or. For after-hours care, except in certain situations such as emergency care, tender and... Out their web sites for specific Information startxref Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an (! For your needs number for a local Blue Cross and Blue Shield association an... Is considered not medically necessary durable medical equipment ) such as emergency care decision, please the... Details on gender-affirming benefits and coverage, or supplies related to medical.. Free flap, implants, and supplies provided Overseas, Non-FEHB benefits available to Plan members SM Service Marks the... Be made if the medical necessity determination for implant removal ( & wF R\XYK00Ha. Help is available One does blue cross blue shield federal cover breast augmentation premiums will be $ 36.11 HMOs you will no. Working with insurance companies do n't cover breast implants surgery covered I= $ QDG den Mitgliederdienst does blue cross blue shield federal cover breast augmentation der auf... Your surgery covered by any insurance Plan for implant removal mental health experts, mental health experts, health. Companies do n't give up hope though because there are a lot of variables to account for after augmentation... With unlimited follow up spectrum disorder be $ 36.11 HMOs Professional charges for care... Comfort items such as emergency care new site you will be $ 36.11 HMOs site... Reduction surgery if you want it for cosmetic reasons removal would be considered not necessary! Mammoplasty, implants, and distorted are subject to the definitions,,...
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