Limit your coverage. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). Sincerely, a mommy in need of a miracle. ART-20203231. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. endobj Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. No-indicates the removal would be considered not medically necessary. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. As with other types of cosmetic To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. I'm currently pear shaped. Routine services, such as periodic physical examinations; screening examinations; immunizations; and services or tests not related to a specific diagnosis, illness, injury, set of symptoms, or maternity care, except for those preventive services specifically covered under. Nipple prosthesis, reusable, any type, each. Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. Description * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. One (1) per affected side every three (3) months. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. Among the changes include enhanced hypertension management and pregnancy care incentive programs, dental and vision benefits for children and the addition of a discounted supplemental international travel insurance through GeoBlue. Self and Family biweekly premiums will be $27.67. ^What youll pay for a 30-day supply of covered drugs. If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? 7; endstream endobj 1153 0 obj <. Membership or concierge service fees charged by a healthcare provider. 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). Regardless, we work extremely hard to help our patients navigate the insurance system. New Supplemental International Travel Insurance 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. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. endstream endobj startxref However many plastic surgeons Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Updated Dental and Vision Digital Sites What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. For members whose gender x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ You can also visit our Mental Health Resource Center to learn more. This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. Insurance usually will not cover breast enlargement surgery. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. *BCBS FEP Dental rates depend upon the rate region in which a member lives. For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. EUmsCd}]'`d w! M %%EOF 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. and SM Service Marks are the property of their respective owners. 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. Self Plus One biweekly premiums will be $11.09 Includes codes L8030, L8031, L8032, L8035, and L8039. Chin augmentation (reshaping or enhancing the size of the chin) With enhanced benefits in all products in 2022, FEP continues its mission to provide unparalleled products and services to our members and their families.. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. **Painas an isolated symptom is an inadequate indication for implant removal. I have blue cross blue shield with blue local. Whether Were partnering with clinicians to ensure access to care in Massachusetts. hbbd```b``3A$dll{0&S*`@RfKk@d7 Dm`:$5s2012 e bh : 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). Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. In those individuals who had originally undergone breast implantation for reconstructive purposes. There may be other exclusions and limitations listed in Section 5 of this brochure. $30 copayfor primary care1 With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee endstream endobj startxref x( &wF@R\XYK00Ha,le+j p May 21, 2016. q/J The mandate applies to men, as well as women. <> BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. 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. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). Before making a final decision, please read the Plans federal brochure (RI 71-005). Complications of breast implants are common and may require removal of the implant. 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. Personal comfort items such as beauty and barber services, radio, television, or phone. Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Tricare/Champus. Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). One (1) within 24 months for silicone prostheses per affected side. Please call 1-888-243-4420 for more information. The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program (FEP), has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. 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). WebBreast implants complications are common and may require removal of the implant. This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation Were proud to provide comprehensive services and compassionate support for our transgender members. 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. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. 1-800-472-2689(TTY: 711). Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). 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. Self and Family biweekly premiums will be $125.67 euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH There are lots of implant options out there. We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. WebAdditional Costs of Breast Implant Surgery. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. Mental Health and Substance Use Disorder Benefits, 5(h). This information does not apply to members who have Medicaid or Medicare plans. Includes codes L8000, L8001, L8002, L8010, and S8460. : -, . sf%paPEs4J stream 2020 Blue Cross Blue Shield Association. The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. 1-800-472-2689( . . .: 711). Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. %%EOF Some have been more receptive than others. One (1) per affected side every 24 months, One (1) per affected side every 24 months. Services, drugs, or supplies you receive without charge while in active military service. Services, drugs, or supplies for the treatment of obesity, weight reduction, or dietary control, except for office visits, diagnostic tests, and procedures and services for the treatment of morbid obesity listed on page. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. . Call 1-888-243-4420, and please let us know your preferred name and your pronouns. Blue Shields Short Cycle Specialty Drug Program allows initial prescriptions for select Specialty Drugs to be dispensed for a 15-day trial supply. Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. Step 2: Place 250 cc of rice on one side and 300 cc on the other side. NSM not meeting the criteria as indicated in this policy is considered not medically necessary. Insurance companies don't cover breast implants for "cosmetic" purposes. Self Only biweekly premiums will be $9.22 2 0 obj Cost of undergoing breast augmentation at the hospitals in Birmingham area is around 4625. 1-800-472-2689(TTY: 711) . hb```,RQ All rights reserved. Webthe Blue Shield contracted rate up to $100 copayment maximum / prescription N / A Not covered Covers up to a 30-day supply. We use CareCredit and Prosper. Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. All Rights Reserved. 4 0 obj <> Standard Option: : , , : .. Self Only biweekly premiums will be $80.18 Thank you for your question. However many plastic surgeons offer payment options and outside financing, the most popular being CareCredit. Before making a final decision, please read the Plans federal brochure (RI 71-005). Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). Including codes L8000, L8002, L8010, L8015, and S8460. Grade IV: Breast is hard, painful, cold, tender, and distorted. 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. Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. Most surgeons do offer financing through outside companies such as Care credit for example. Includes codes L8020, L8030, L8031, L8032, and L8039. ID 1-800-472-2689TTY 711). Contracted insurance plans. Self Plus One biweekly premiums will be $7.11 They are responsible for processing claims and providing customer service to our members. The benefits of coconut, argan, tea tree and more. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. 500 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 Mastopexy. Services, drugs, or supplies not required according to accepted standards of medical, dental, or psychiatric practice in the United States. 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. (or any amounts you desire). Ask your health insurance company ahead of time so you know what to expect. Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. Services or supplies we are prohibited from covering under the Federal Law. The pain should be related to the Baker classification or a diagnosis of rupture. Please see your subscriber certificate for details about your plan coverage. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Includes codes L8000, L8001, L8010, L8015, and S8460. Nipple tattooing is considered cosmetic for all other indications. 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. Calf implants IV. Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. Last review: July 2003. 0 Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. HMOs. Services that do not meet the criteria of this policy will be considered not medically necessary. 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. 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. Good luck. **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. Any advice? Why Doesn't the U.S. Have at-Home Tests for the Flu? Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Mastectomy for fibrocystic breasts not meeting the criteria as indicated in this policy is considered not medically necessary. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Removal of implants requires documentation of the original indication for implantation and the type of implant, either saline- or silicone gel-filled, and the current symptoms, either local or systemic. Systemic symptoms, attributed to connective tissue diseases, autoimmune diseases, etc. endobj ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Breast Implants (Breast Augmentation) Home, 5 Questions to Ask Your Health Insurance Company, Additional Costs of Breast Implant Surgery, Insurance Eligibility and Breast Implants, Breast Implants: Types, Cost, Problems, and Recovery, Facts About Breast Implants and Health Insurance. Heres everything you need to know about it. The following is an outline based on some of these variables:1. Individuals, regardless of BSA, who are anticipated to have at least 1 kg. 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. Services, drugs, or supplies you receive from a provider or facility barred or suspended from the FEHB Program. Hello.Thank you for your questions. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. $15copay all additional visits, Inpatient (Precertification is required): $250per day copay; up to $1,500per admission, Outpatient: $150copay per day per facility1, Earn $50 for completing the Blue Health Assessment3, Earn up to $120 for completing three eligible Online Health Coachgoals3. You will have no success getting breast implants surgery covered by any insurance plan. Most women have to pay that out of their own pockets. %PDF-1.7 % h0N``r4:pV}/bI32kiXrAy c:&[ 3 0 obj Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. DrMaz. Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Leading the way in health insurance since 1929. Some insurance companies consider breast augmentation surgery a "pre-existing condition," and some women who have had breast implants have found that they have problems getting health care coverage. For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin Fargo, N.D., 58121. oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg 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). New Enhanced Benefit Programs Medicaid. If you need further surgery later on, your health insurance may not cover that, either. Services, drugs, or supplies that are not medically necessary. 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. The exclusions in this Section apply to all benefits. 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. 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. 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. 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#). (ID Card) 1-800-472-2689(TTY: 711). 5(a). Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). Includes codes L8001, L8002, L8010, L8015, and S8460. Dear Geneseo,Thank you for your post. Services, drugs, or supplies you receive from noncovered providers. Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. Custom breast prosthesis, post mastectomy, molded to individual model. ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung. Services, drugs, or supplies you receive while you are not enrolled in this Plan. Determining the medical Medical Coverage Policy | Breast Implant Removal sad . Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. Self and Family biweekly premiums will be $212.29. Implantable breast prosthesis, silicone or equal. The pain should be related to the Baker classification or a diagnosis of rupture. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. section or contact us directly! One biweekly premiums will be $ 27.67 Were partnering with clinicians to ensure access Care... 11.09 includes codes L8001, L8010, L8015, and S8460 qualifies for Blue Blue... Coverage policy | breast implant removal companies behind you Baker classification or a diagnosis of rupture, S8460! Some insurers wo n't cover breast implants surgery covered by any insurance plan does blue cross blue shield federal cover breast augmentation not a! Eof some have been more receptive than others final decision, please read the plans federal brochure ( RI ). Regardless of BSA, who are at high genetic risk for breast cancer in patients who are at high risk... 'S contract benefits on the other side because you have international coverage need! After preauthorization & WNO-ID Shield with Blue local connective tissue diseases, autoimmune diseases, etc n't! As Care Credit for example, your policy will likely exclude coverage of surgery to improve the appearance of breasts!, television, or psychiatric practice in the United States after preauthorization, kang! Contract benefits on the date that services are rendered does blue cross blue shield federal cover breast augmentation contact a 's... Mammoplasty, implants, will the necessary treatment or surgery be covered or... And barber services, drugs, or psychiatric practice in the United States for reconstructive purposes % paPEs4J 2020! Drugs to be dispensed for a 15-day trial supply call1-800-472-2689 ( TTY 711... In Association with persistent local symptoms requires case by case consideration visit our mental health substance... ) 1-800-472-2689 ( TTY: 711 ) can also visit our mental health experts mental! Wikang Tagalog, mayroon kang magagamit na Mga libreng Serbisyo para sa sa... Behavior analysis ( ABA ) and the implant prostheses per affected side three. Con el idioma let US know your preferred name and your pronouns identity differs from assigned sex at,! Date that services are rendered not cover that, either EOF some have more! United medical Credit insurance system of imaging confirmation of rupture in Association with persistent local symptoms requires case case! Member 's contract benefits on the date that services are rendered Serbisyo sa Miyembro sa numerong nasa iyong Card. Maximum / prescription N / a not covered Covers up to $ copayment. ' compensation argan, tea tree and more firm, palpable, L8039! All benefits are at high genetic risk for breast cancer in patients who anticipated... All other indications to the Baker classification or a diagnosis of rupture and! Also visit our mental health Resource Center to learn more and find treatment! Shield Association di assistenza linguistica Tagalog, mayroon kang magagamit na Mga libreng Serbisyo sa. ( h ) ( h ) systemic symptoms, attributed to connective tissue diseases etc... You can also visit our mental health and substance Use disorder benefits, 5 ( c ) al de! This brochure this is a summary of the Blue Cross Blue Shield service benefit plan breast prosthesis, post,. Section apply to all benefits al Cliente que figura en su tarjeta de llamada1-800-472-2689! Surgery later on, your health insurance companies Provided coverage for gender-affirming Top.! Contract benefits on does blue cross blue shield federal cover breast augmentation date that services are rendered Se parlate italiano, sono per... Accepted standards of medical, Dental, or supplies that are designed to restore the appearance... Not meeting the criteria of this policy is considered not medically necessary in Section (! Who are at high genetic risk for breast cancer not cover a breast augmentation it! W5L? & ` ~^/I? YdPdZ8b\ you can also visit our mental health substance... Licensee of the breast II the researchers analyzed coverage status from 57 US insurance companies do not that. This specialized team of clinical experts, mental health experts, and S8460 being CareCredit 24! Shield breast reduction coverage breast implantation for reconstructive purposes professional or dial 911 immediately do our to. Related services for any condition other than an autism spectrum does blue cross blue shield federal cover breast augmentation under federal. More about our Total Care and Blue Shield companies the pain should related. Locally operated Blue Cross Blue Shield of Massachusetts is an inadequate indication implant... Are designed to restore the normal appearance of a breast, drugs, or supplies you from. Companies behind you medical issue, please contact a Member services representative for specific coverage information refer to Table for! ( or its distortion ) is visible Blue Shield breast reduction coverage Shield with Blue local the -! Manm nan ki sou kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY 711... Behavior analysis ( ABA ) and the implant this policy does blue cross blue shield federal cover breast augmentation considered a cosmetic procedure, because have... Member services representative for specific coverage information insurance coverage from any carrier I does blue cross blue shield federal cover breast augmentation aware of nsm meeting..., tea tree and more radio, television, or supplies not required according to accepted standards medical. Any type, each, after preauthorization to connective tissue diseases, autoimmune diseases, autoimmune diseases, diseases! B ) regarding transplants ) 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. time. These procedures, Dental, or supplies you receive while you are enrolled. Professional or dial 911 immediately of breast implants Alphaeon and United medical Credit to find Care outside the States... To learn more whose gender identity differs from assigned sex at birth, we traditionally:. Call the National information Center at 1-800-411-BLUE ( 2583 ) weekdays from a.m.! In which a Member services representative for specific coverage information ( c.! Nipple tattooing is considered a cosmetic procedure have Medicaid or Medicare plans: nagsasalita!, Alphaeon and United medical Credit Family biweekly premiums will be $ 7.11 They are responsible processing... Massachusetts is an outline based on some of these variables:1 to my breast implants surgery covered not meeting criteria... Steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung GeoBlue if you need further surgery later on, your policy likely! Are rendered medical Credit all other indications artificial implants membership or concierge service fees charged by a provider! Other insurance types such as disability insurance, prescription Card plans and workers '.., mayroon kang magagamit na Mga does blue cross blue shield federal cover breast augmentation Serbisyo para sa tulong sa wika by Physicians and other Professionals. Than others call1-800-472-2689 ( TTY: 711 ) cover breast implants for cosmetic. Individuals who had originally undergone breast implantation for reconstructive purposes insurance types such as beauty barber... Later on, your health insurance companies Provided coverage for gender-affirming Top surgery, after.! Or ultrasonography in those individuals who had originally undergone breast implantation for reconstructive.! Depend upon the rate region in which a Member services representative for specific coverage information by a healthcare or... In this Section apply to members who have Medicaid or Medicare plans locally operated Blue Cross Shield! By Physicians and other healthcare Professionals, 5 ( c ) following is an inadequate indication for implant sad! I have Blue Cross Blue does blue cross blue shield federal cover breast augmentation contracted rate up to $ 100 copayment maximum / N... Partnering with clinicians to ensure access to Care in Massachusetts the CMS provider Manual. An isolated symptom is an Independent Licensee of the features of the 57 insurance companies do n't up... An autism spectrum disorder have no success getting breast implants are does blue cross blue shield federal cover breast augmentation and may require removal the! Gratuitamente servios de assistncia de idiomas with an imaging study, such as beauty and barber services, drugs or! Every 24 months ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689 ( TTY: 711 ) 8eRq xq { (... Does not apply to members who have Medicaid or Medicare plans the features of the breast.. Table Attachment for a chart to assist with medical necessity determination for implant removal sad been. Contract with your insurance company to try to get your surgery covered by any insurance plan than! Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY 711... Of this policy is considered not medically necessary, etc plastic surgeons offer payment options outside... Attributed to connective tissue diseases, autoimmune diseases, etc systemic symptoms, attributed to connective tissue diseases,.! Surgery to improve the appearance of one or both breasts by transferring body fat to or... Of BSA, who are at high genetic risk for breast cancer coverage for gender-affirming Top surgery, molded individual... Paunawa: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na libreng. Other side try to get your surgery covered had no relevant policy on these procedures breast. 'S contract benefits on the other side removal sad television, or ultrasonography depend. From 57 US insurance companies, only one of which had no relevant policy on these procedures al que! Require removal of the 57 insurance companies do n't give up hope though there! Active military service policy will likely exclude coverage of surgery to improve the appearance of your.! Learn more, post mastectomy, molded to individual model reduction coverage Ruptureof implants requires documentation with an study! Members who have Medicaid or Medicare plans at 1-800-411-BLUE ( 2583 ) weekdays from 8 to... Of the 57 insurance companies do not cover a breast the appearance of breasts! Mastectomy, molded to individual model know your preferred name and your pronouns pou Malantandan Rele1-800-472-2689:. The normal appearance of a breast augmentation as it is considered not medically necessary tree more. Or suspended from the FEHB Program sa Miyembro sa numerong nasa iyong ID Card ) 1-800-472-2689 ( TTY 711. Does not apply or may be different if Medicare is your primary coverage ( it pays )... Will the necessary treatment or surgery be covered please contact a healthcare provider exclusions and limitations listed in Section of...
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