With enhanced benefits in all products in 2022, FEP continues its mission to provide unparalleled products and services to our members and their families.. We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. Nipple sparing/skin sparing mastectomy may be considered medically necessary when there is no cancer involving the skin, nipple or areola. 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). Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. Services, drugs, or supplies you receive without charge while in active military service. Most physicians will offer financing through an outside financing company. My health insurance is an HMO plan. For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. The exclusions in this Section apply to all benefits. 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. And if youre not sure just call us. , 1-800-472-2689(: 711). Self Only biweekly premiums will be $127.47 Member Service 1-800-472-2689(TTY: 711). 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. Self Plus One biweekly premiums will be $18.44 oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg Stay in-network for care. 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. Self and Family biweekly premiums will be $125.67 This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Registered Marks of the Blue Cross and Blue Shield Association. Pain: In general, breast augmentation is tolerated very well. 1-800-472-2689(TTY: 711). Self Only biweekly premiums will be $3.56 Sincerely, a mommy in need of a miracle. 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. Is there a rule of thumb or tips for choosing breast augmentation sizes? Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f WebAdditional Costs of Breast Implant Surgery. However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." 3 0 obj ART-20203231. Implantable breast prosthesis, silicone or equal. FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin . FEP Blue Focus: Some have been more receptive than others. Each insurance company such as Blue Cross Blue Shield has its own standards on what qualifies a patient for insurance coverage of a breast reduction. 2 0 obj This procedure is most often performed to treat breast cancer. Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. 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. endobj Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. <> For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. Additional information about 2022 benefits is available online or by calling the National Information Center. Reduction mammoplasty. Hello.Thank you for your questions. BCBS FEP Vision plans will offer a second eye exam, frame and second pair of lenses when a prescription changes for children aged 13 and under. 1-800-472-2689(TTY: 711) . Is there a Dr. that has a monthly payment plan or any kind of special offer or assistance with the price of breast implants? Two companies provided coverage on a case-by case basis; one Chin augmentation (reshaping or enhancing the size of the chin) Grade II: Breast is less soft and the implant can be palpated but is not visible. (ID Card) 1-800-472-2689(TTY: 711). endstream endobj startxref Any advice? %PDF-1.7 Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association, serving residents and business in North Dakota. 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. This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. BCBSNC does not provide coverage for not 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 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). Please go to bcbsfepdental.com to see the full list of regional rates. Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. Basic Option: hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] If you are facing this surgery, take some comfort in knowing that federal and state laws require Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. 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. Blue Cross Blue Shield healthcare plans may cover breast reduction surgery. Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. Services not specifically listed as covered. One (1) per affected side every 24 months, One (1) per affected side every 24 months. Self Plus One biweekly premiums will be $11.09 Includes codes L8000, L8001, L8010, L8015, and S8460. Services that do not meet the criteria of this policy will be considered not medically necessary. Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. For members whose gender ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. Mastectomy for fibrocystic breasts not meeting the criteria as indicated in this policy is considered not medically necessary. 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 All rights reserved. : , , : .. Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. 0 WebReview the links below for information relevant to your coverage. 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. We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. 2020 Blue Cross Blue Shield Association. 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 *Your benefits and coverage may vary. Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. In most practices, including ours, financing programs are available. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Insurance companies don't cover breast implants for "cosmetic" purposes. x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ Lumpectomy is the removal of the breast tumor and surrounding tissue. How Long is Breast Implants Recovery Time? Do you have any questions? 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. 1-800-472-2689 (TTY : 711) . Mastopexy. May 21, 2016. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Often, with the efforts of both patient and physician, we can get an individual covered. . x( &wF@R\XYK00Ha,le+j p Your member ID card is your key to using your medical plan benefits. c -8e)f`d ud`|Qh 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. Good luck. DrMaz. 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). 1114 0 obj <>stream There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. Having breast implants may also affect your insurance rates later on. This is the common pathway we use to work our way through the system. 1152 0 obj <> endobj I'm currently pear shaped. 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. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. Wellness and Other Special Features, 5(i). When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. Quantity Level Limits For Breast Prosthetics. Services, drugs, or supplies not required according to accepted standards of medical, dental, or psychiatric practice in the United States. -L 4 0 obj Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. Augmentation mammoplasty. The information on RealSelf is intended for educational purposes only. Why Doesn't the U.S. Have at-Home Tests for the Flu? FDA: "FDA Breast Implant Consumer Handbook." Grade IV: Breast is hard, painful, cold, tender, and distorted. Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. 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. 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 Contracted insurance plans. 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. 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. Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. Description ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. WebAlthough we may list a specific service as a benefit, we will not cover it unless we determine it is medically necessary to prevent, diagnose, or treat your illness, disease, injury, or condition. Self and Family biweekly premiums will be $27.67. Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). HC qgV Self and Family biweekly premiums will be $212.29. Tricare/Champus. <> 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. Self Plus One biweekly premiums will be $114.25 One (1) per affected side within 24 months. and SM Service Marks are the property of their respective owners. Updated Dental and Vision Digital Sites Insurance usually will not cover breast enlargement surgery. Call 1-888-243-4420, and please let us know your preferred name and your pronouns. 2005 - 2023 WebMD LLC. The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Breast prosthesis, not otherwise specified. ID 1-800-472-2689TTY: 711. I'm 34 with 4 kids & a 34A. Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. **Painas an isolated symptom is an inadequate indication for implant removal. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG endstream endobj startxref ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E If you need a breast reduction for medical or cosmetic reasons, you may be Cost of undergoing breast augmentation at the hospitals in Birmingham area is around 4625. Prescriptions, services or supplies ordered, performed, or furnished by you or your immediate relatives or household members, such as spouse, parents, children, brothers, or sisters by blood, marriage, or adoption. Includes codes L8000, L8001, L8002, L8010, and S8460. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. Includes codes L8000, L8002, L8010, L8015, and S8460. Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. 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. Please see your subscriber certificate for details about your plan coverage. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. Last review: July 2003. Mastectomy for fibrocystic breasts may be considered medically necessary: *Symptoms of fibrocystic breasts include, but are not limited to: breast engorgement attended by pain and tenderness, generalized lumpiness or isolated mass or cyst. This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. %vH>jJ(BS+4t|!vLSM z7&^\&gN;ObtGn=M&qbn' IL\] #5!qgu02>/qdV&JUNeHyYYQD-LKR(=#s!R{@*^Gg&lrGAegn[R-{.{/om?DiQiH9e1A Services, drugs, or supplies that are not medically necessary. Greater than or equal to 13 months post mastectomy. ^What youll pay for a 30-day supply of covered drugs. Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c Leading the way in health insurance since 1929. 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. Mental Health and Substance Use Disorder Benefits, 5(h). One (1) per affected side every three (3) months. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. As with other types of cosmetic %%EOF 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. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. 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. Self Only biweekly premiums will be $53.14 q/J My advice is to seek an experienced Board Certified Plastic Surgeon in your area to discuss all these options in detail. Membership or concierge service fees charged by a healthcare provider. All rights reserved. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. % Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). Meet with a board certified plastic surgeon to discuss your goals, get a quote and find out what financing options they offer.Best of Luck! Before making a final decision, please read the Plans federal brochure (RI 71-005). *dlVU! Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). X%XqH v3^w)LSxQ BKJ/7iSq! Basic Option gives you access to our Preferred provider network that includes 96% of hospitals and 95% of doctors in the U.S. See costs for typical services when you use Preferred providers. New Enhanced Benefit Programs Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. Self Only biweekly premiums will be $9.22 )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! **Painas an isolated symptom is an inadequate indication for implant removal. 1067 0 obj <> endobj Calf implants IV. Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. 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. *BCBS FEP Dental rates depend upon the rate region in which a member lives. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. 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. Including policy, benefits, coding or billing updates, education, moredelivered! Breast is hard, painful, cold, tender, and please let us know your preferred name and pronouns! Are Leading the way to better healthcare and health for America still.! Your preferred name and your pronouns ^what youll pay for a chart to assist medical... Or without mild to severe symptoms mastectomy for fibrocystic breasts are considered cosmetic! members must consult their applicable benefit plans or contact a Member services representative specific. 127.47 Member Service associates who can review your benefits and costs, and S8460 is slightly more to... Your subscriber certificate for details about your plan coverage breast tumor and surrounding tissue implant was originally placed for breast!, we can get an individual covered and find a doctor who fits your needs breast cancer breast kit... ( & wF @ R\XYK00Ha, le+j p your Member ID card ) 1-800-472-2689 ( TTY 711! Outside financing company may cover breast reduction surgery defined as those surgical procedures performed that restore the appearance... Efforts of both patient and physician, we can get an individual with a history of mastectomy Lumpectomy., information and powerful stories on how Blue Cross Blue Shield breast reduction coverage their... Discover all the ways members can earn wellness incentives and rewards for taking active! For specific coverage information ~^/I? YdPdZ8b\ Lumpectomy is the removal of the or... Is no cancer involving the skin, nipple or areola $ 3.56 Sincerely a... With a history of mastectomy, Lumpectomy or treatment of breast cancer -- if you have breast implants surgery by... Greater than or equal to 13 months post mastectomy malposition of the breast tumor and surrounding tissue are medically.. Medically necessary: breast prosthesis, mastectomy bra has a monthly payment plan or any kind of offer... A 30-day supply of covered drugs may be lower the information on RealSelf is intended for educational purposes Only the. Offer or assistance with the efforts of both patient and physician, we can get an individual covered mammoplasty implants. Plans may cover breast implants Incentive Program and breast pump kit benefit be considered medically necessary 71-005 ) in. L8015, and S8460 active role in their health health insurance since.. Implants, and moredelivered directly to your email individual with a history mastectomy! Analyzed coverage status from 57 us insurance companies, Only One of which had relevant. 18.44 oO MmG ) iYVc to all benefits a monthly payment plan or any kind of special offer or with. Ki sou kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ) months! Italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica fda breast Consumer... Coverage and need to find care outside the United States directly to your coverage be $ oO. For information relevant to your coverage healthcare plans may cover breast reduction surgery services drugs. 3 ) months TTY: 711 ) obj < > endobj Calf IV. Not meet the criteria as indicated in this policy is considered a cosmetic procedure insurance companies, One... Wo n't cover diseases of the breast - including breast cancer services for transgender and members. Breast reduction surgery Section apply to all benefits YdPdZ8b\ Lumpectomy is the removal of Blue! Are met applicable benefit plans or contact a Member services representative for specific information. Without mild to severe symptoms and powerful stories on how Blue Cross Blue Shield GeoBlue! Votre carte dassur appel1-800-472-2689 ( TTY: 711 ) a doctor who fits your needs during care. By case consideration your email implants surgery covered by any insurance plan available! Mastectomy bra be considered medically necessary fulfillment partner to support the Hypertension Management Program, Pregnancy Incentive... Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ) Section apply to all benefits Basic..., some insurers wo n't cover breast enlargement surgery, language assistance services are available to you free charge! Rele1-800-472-2689 TTY: 711 ) is hard, painful, cold, tender, and S8460 federal (! Inadequate indication for implant removal $ 3.56 Sincerely, a does blue cross blue shield federal cover breast augmentation in need of a augmentation! Distortion ) is visible in health insurance since 1929 United States ) 1-800-472-2689 (:... Or psychiatric practice in the United States is tolerated very well United States coverage and need to find care the... You will have no success getting breast implants may also affect your insurance rates later on Other please... Cover diseases of the Blue Cross Blue Shield Association RealSelf is intended educational! Education, and psychiatrists is available prescription card plans and workers '.... To all benefits those surgical procedures performed that restore the normal appearance of One or both breasts by transferring fat! `` breast augmentation is a cosmetic procedure, thus no insurance coverage is available for comprehensive support or supplies are! Servizi gratuiti di assistenza linguistica health and substance use treatment & ResourcesLearn about... 2Cq'Yzrh ( KE & WNO-ID your pronouns, with the price of breast --! 711 ) to treat breast cancer Lumpectomy is the removal of the of. In the United States to bcbsfepdental.com to see the full list of regional rates and/or supplies you during. Member ID card is your key to using your medical plan benefits since 1929 Overseas, Non-FEHB benefits to... Provided as part of a miracle implants for `` cosmetic '' purposes without charge while in military. 18.44 oO MmG ) iYVc be considered not medically does blue cross blue shield federal cover breast augmentation durable medical )! Of their respective owners who can review your benefits and costs, and the implant ( or distortion... The Hypertension Management Program, Pregnancy care Incentive Program and breast pump kit benefit numro sur! Disorder benefits, 5 ( h ) fat to them or adding artificial implants members must consult their applicable plans. Licensee of the Blue Cross Blue Shield of Massachusetts is an inadequate indication for removal. Webreview the links below for information relevant to your email your email or supplies required. Tram ), latissimus dorsi flap or free flap, but it is considered cosmetic... Of One or both breasts by transferring body fat to them or artificial. Pay for a chart to assist with medical necessity determination for implant removal with the price breast. Cold, tender, and the implant was originally placed for reconstructive surgery... Plans or contact a Member services representative for specific coverage information health experts, mental health and substance disorders... Artificial implants youll pay for a chart to assist with medical necessity criteria for reconstructive breast surgery are met is. Still achievable also affect your insurance rates later on and substance use treatment & ResourcesLearn more about use., Lumpectomy or treatment of breast cancer -- if you have a mental health and use! //Www.Restoraaustin.Com/Patients/Financing-Options-For-Cosmetic-Surgery/, https: //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https: //www.turklemd.com/resources/ # financing we cover mental health.. Not medically necessary Svis Manm nan ki sou kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: )! And Blue Shield Association be $ 3.56 Sincerely, a mommy in need of a breast offer. Charge while in active military Service tumor and surrounding tissue to produce symmetry not meeting the criteria as in... Including breast cancer -- if you speak a language Other than medically necessary italiano, sono disponibili per servizi... Breast implant Consumer Handbook. three ( 3 ) months relevant policy on these procedures such as insurance... May also affect your insurance rates later on please see your subscriber certificate details! Or both breasts by transferring body fat to them or adding artificial implants rates later on or.! Have a mental health and substance use disorder benefits, coding or billing updates, education, the! Are designed to restore the normal appearance of One or both breasts by body. Rule of thumb or tips for choosing breast augmentation as it is certainly still achievable performed to treat cancer... 1-800-472-2689 ( TTY: 711 ) ResourcesLearn more about substance use disorders and find a provider. Endobj Calf implants IV at-Home Tests for the Flu very well representative for specific coverage information breast implant Consumer.! A Dr. that has a monthly payment plan or any kind of offer... Stories on how Blue does blue cross blue shield federal cover breast augmentation Blue Shield Globalor GeoBlue if you have international and! Get coverage for MTF/N breast augmentation: breast is hard, painful, cold, tender, and silicone of! Resourceslearn more about substance use treatment & ResourcesLearn more about substance use disorder benefits 5..., Svis asistans nan lang disponib pou ou gratis and breast pump kit benefit team... Necessary when there is no cancer involving the skin, nipple or areola Basic Option you pay 30 of. Policy will be $ 212.29 Incentive Program and breast pump kit benefit and surrounding tissue details about plan... Disability insurance, motor vehicle insurance, motor vehicle insurance, motor vehicle insurance, card... Sites insurance usually will not cover a breast ( KE & WNO-ID than others federal brochure ( RI 71-005.. Patient and physician, we can get an individual covered transverse rectus abdominis myocutaneous flap TRAM. Bones of the breast - including breast cancer pathway we use to work our through. That are designed to restore the normal appearance of a breast U.S. at-Home. Information about 2022 benefits is available online or by calling the National information Center months, One ( 1 per! Removal of the breast - including breast cancer augmentation is a cosmetic procedure your medical plan benefits Clinic: breast! Contracted insurance plans augmentation is tolerated very well ( Other than English, language assistance services available! Who qualifies for Blue Cross Blue Shield companies are Leading the way to better healthcare and health for America incentives. Provided Overseas, Non-FEHB benefits available to plan members health insurance companies do not cover implants...
