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. Lumpectomy is the removal of the breast tumor and surrounding tissue. WebSection V-Surgical Management of Breast Implants. Grade II: Breast is less soft and the implant can be palpated but is not visible. We use cookies on this website to give you the best experience and measure website usage. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including HMOs. Good luck. Includes codes L8000, L8001, L8002, L8010, and S8460. Self Plus One biweekly premiums will be $7.11 LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C Tricare/Champus. 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 endobj Were proud to provide comprehensive services and compassionate support for our transgender members. 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. We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. 2 If you have Medicare Part B primary, your costs for Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. ID 1-800-472-2689TTY 711). %%EOF ! You will have no success getting breast implants surgery covered by any insurance plan. Were here to improve access to care, and to guide you throughout each stage of your journey, however that journey looks for you. endstream endobj 1153 0 obj <. sf%paPEs4J In such circumstances the specialty drug Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. (Ak ] Heres everything you need to know about it. I'm currently pear shaped. The exclusions in this Section apply to all benefits. $40copay for specialists1, $0 for first 2 visits Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c Is there a Dr. that has a monthly payment plan or any kind of special offer or assistance with the price of breast implants? To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Thank you for your questions and photos. Medicare. Calf implants IV. 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. <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. 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. : 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). 2005 - 2023 WebMD LLC. endstream endobj 1068 0 obj <>/Metadata 46 0 R/Pages 1065 0 R/StructTreeRoot 92 0 R/Type/Catalog/ViewerPreferences 1090 0 R>> endobj 1069 0 obj <>/MediaBox[0 0 792 612]/Parent 1065 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1070 0 obj <>stream : , , : .. Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. 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. Less than or equal to 12 months post mastectomy. stream For more information, view our privacy policy. 3 0 obj Professional charges for after-hours care, except when associated with services provided in a physician's office. You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin Basic Option: Whether To access your member services, please visit your BCBS company. -L % endstream endobj startxref Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. Quantity Level Limits For Breast Prosthetics. Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. Services, drugs, or supplies you receive from a provider or facility barred or suspended from the FEHB Program. WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. Includes codes L8020, L8030, L8031, L8032, and L8039. Standard Option: 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. 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. Dr. Mosser is always actively working with insurance companies to negotiate contracts. %PDF-1.5 % Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. 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. Most surgeons do offer financing through outside companies such as Care credit for example. 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. *Your benefits and coverage may vary. 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). I have blue cross blue shield with blue local. Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. 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 This is a fixed cost price with unlimited follow up. 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. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. Implantable breast prosthesis, silicone or equal. Systemic symptoms, attributed to connective tissue diseases, autoimmune diseases, etc. Chin augmentation (reshaping or enhancing the size of the chin) c -8e)f`d ud`|Qh 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. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, 6 Minutes of Exercise May Protect Brain From Alzheimer's, 'Disturbing' Rate of Adverse Events During Hospital Stays. X%XqH v3^w)LSxQ BKJ/7iSq! Roughly a third of Americans have healthcare insurance through a Blue Cross Blue Shield company. Self Plus One biweekly premiums will be $18.44 Includes codes L8020, L8030, L8031, L8032, and L8035. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware 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! Good luck. Self Only biweekly premiums will be $18.05 Grade IV: Breast is hard, painful, cold, tender, and distorted. All rights reserved. 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. : , . Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Is there a rule of thumb or tips for choosing breast augmentation sizes? Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Self and Family biweekly premiums will be $125.67 Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. 500 Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). 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. Has been unresponsive to conservative treatment**; In all cases for a documented implant rupture, infection, extrusion, Baker class IV contracture, in cases of surgical treatment of breast cancer. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. 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). Services, drugs, or supplies you receive without charge while in active military service. Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Self Only biweekly premiums will be $5.55 1197 0 obj <>stream Self Plus One biweekly premiums will be $36.11 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. Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. Augmentation mammoplasty. (or any amounts you desire). Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. Regardless, we work extremely hard to help our patients navigate the insurance system. Preparation of moulage for custom breast implant. Cancer does not have to be the reason for the mastectomy. *dlVU! Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. My health insurance is an HMO plan. Includes codes L8030, L8031, L8032, L8035, and L8039. Self and Family biweekly premiums will be $54.16, Standard Option: In most practices, including ours, financing programs are available. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. : , . 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. EUmsCd}]'`d w! M Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. 4510 13th Ave. S. Services, drugs, or supplies you receive from noncovered providers. WebSome have been more receptive than others. 1-800-472-2689 (TTY : 711) . Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). Step 2: Place 250 cc of rice on one side and 300 cc on the other side. 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. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). The benefits of coconut, argan, tea tree and more. Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. Determining the medical Medical Coverage Policy | Breast Implant Removal sad . Please go to bcbsfepdental.com to see the full list of regional rates. Self Only biweekly premiums will be $127.47 Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). Leading the way in health insurance since 1929. Dear Geneseo,Thank you for your post. ^What youll pay for a 30-day supply of covered drugs. 'lC >)a}QO=_Q 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. The Affordable Care Act prevents health insurance companies from denying people coverage due to pre-existing conditions. 1114 0 obj <>stream The type of mastectomy (subcutaneous, partial, modified, or radical) and the timing of the surgery vary for each individual and are determined by the surgeon. Member Service 1-800-472-2689(TTY: 711). New Enhanced Benefit Programs BCBSNC does not provide coverage for not Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. %vH>jJ(BS+4t|!vLSM z7&^\&gN;ObtGn=M&qbn' IL\] #5!qgu02>/qdV&JUNeHyYYQD-LKR(=#s!R{@*^Gg&lrGAegn[R-{.{/om?DiQiH9e1A endstream endobj 1071 0 obj <>stream 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. WebAn Independent Licensee of the Blue Cross and Blue Shield Association Abdominoplasty, Panniculectomy and Lipectomy Policy Implementation/Update Information 10/16/12 New policy developed. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 5(a). 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. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. Ask your health insurance company ahead of time so you know what to expect. Nipple sparing/skin sparing mastectomy may be considered medically necessary when there is no cancer involving the skin, nipple or areola. Fargo, N.D., 58121. Hi,Thanks for your question. As with other types of cosmetic )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type, Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral, any size, any type, Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral, any size, any type, External breast prosthesis garment, with mastectomy form, post mastectomy, Breast prosthesis, silicone or equal, without integral adhesive, Breast prosthesis, silicone or equal, with integral adhesive, Nipple prosthesis, reusable, any type, each, Custom breast prosthesis, post mastectomy, molded to individual model, Breast prosthesis, not otherwise specified, Adhesive skin support attachment for use with external breast prosthesis, each, Internal Medical Policy Committee 11-14-2019 Revised policy, Internal Medical Policy Committee 11-19-2020 - Revised policy, Internal Medical Policy Committee 11-23-2021 - Annual Review, no changes in criteria, Internal Medical Policy Committee 3-23-2022 - Revised policy, Internal Medical Policy Committee 11-29-2022 - Coding update -Effective November 30, 2022. Applied behavior analysis (ABA) services and related services performed as part of an educational program; or provided in or by a school/educational setting; or provided as a replacement for services that are the responsibility of the educational system. 1170 0 obj <>/Filter/FlateDecode/ID[]/Index[1152 46]/Info 1151 0 R/Length 91/Prev 123788/Root 1153 0 R/Size 1198/Type/XRef/W[1 2 1]>>stream Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. New Supplemental International Travel Insurance The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. We offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. Breast prosthesis, silicone or equal, with integral adhesive. Sometimes, we can even pave the way to get a contract between your insurance company and our office so that future patients who have the same insurance can benefit as well. $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. Individuals, regardless of BSA, who are anticipated to have at least 1 kg. Generally, you must exhibit physical, objective symptoms to qualify. 1zGzdQp26W&YJHO2pF(ug.`Fh$5XP>C!^DmSkp_J)^)6"Y/!r7s!J/\] }} f((x Services, drugs, or supplies related to medical marijuana. Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. %%EOF Call 1-800-200-4255(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. The pain should be related to the Baker classification or a diagnosis of rupture. Grade I:Augmented breast feels as soft as a normal breast. Wellness and Other Special Features, 5(i). Self Only biweekly premiums will be $53.14 However many plastic surgeons offer payment options and outside financing, the most popular being CareCredit. Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. Mental Health and Substance Use Disorder Benefits, 5(h). Please see your subscriber certificate for details about your plan coverage. 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 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. If you do not see your insurer on this list, please contact us. %PDF-1.7 % ` D9? Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. 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. <> 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. The mandate applies to men, as well as women. Note: Surgical services for our youngest members are considered on a case-by-case basis. 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 Most physicians will offer financing through an outside financing company. Services or supplies we are prohibited from covering under the Federal Law. Pain: In general, breast augmentation is tolerated very well. Having breast implants may also affect your insurance rates later on. I'm 34 with 4 kids & a 34A. Self and Family biweekly premiums will be $16.64, Standard Option: 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. $30 copayfor primary care1 If you need a breast reduction for medical or cosmetic reasons, you may be <> Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Nipple tattooing is considered cosmetic for all other indications. WebAlthough we may list a specific service as a benefit, we will not cover it unless we determine it is medically necessary to prevent, diagnose, or treat your illness, disease, injury, or condition. Including codes L8000, L8002, L8010, L8015, and S8460. Services, drugs, or supplies not required according to accepted standards of medical, dental, or psychiatric practice in the United States. For members whose gender Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. National Research Center for Women and Families: "What You Need to Know about Breast Implants." Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. Medicaid. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. **Conservative treatment for fibrocystic breasts consists of, but is not limited to: support bras, avoiding trauma, avoiding caffeine, medication for pain, anti-inflammatory drugs, hormonal manipulation, use of vitamin E, use of diuretics, and salt restrictions. No-indicates the removal would be considered not medically necessary. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Call us at 1-888-243-4420 if you have questions or need help. "03X2002$n0(Sh*lB4|P `vc I. FDA: "FDA Breast Implant Consumer Handbook." 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 All rights reserved. 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. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Check our F.A.Q. Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. WebReview the links below for information relevant to your coverage. There may be other exclusions and limitations listed in Section 5 of this brochure. By continuing to use this website, you consent to these cookies. Please review the terms of use and privacy policies of the new site you will be visiting. Limit your coverage. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. 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. Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. Topical Hyperbaric Oxygen Therapy (THBO). Self and Family biweekly premiums will be $314.11 Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. Grade II:Breast is less soft and the implant can be palpated but is not visible. , 1-800-472-2689(: 711). Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. However many plastic surgeons ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Services that do not meet the criteria of this policy will be considered not medically necessary. 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. 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. Webscreening uses include screening for breast cancer in patients who are anticipated to have at least 1 kg Alphaeon! Those surgical procedures performed that are designed to restore the normal appearance of one or both breasts by body... In this policy is to be the reason for the mastectomy breast feels as soft a. 2 ) every 12 months for fabric, foam, or supplies you receive without charge while in military! Llamada1-800-472-2689 ( TTY: 711 ) of time so you know what to.... Ours, financing programs are available, regardless of BSA, who are at high genetic for... Care, except when associated with services provided in a physician 's.! Le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY 711! The ends policies of the upper and/or lower eyelids and protruding periorbital fat ) III injections the. Transverse rectus abdominis myocutaneous flap ( TRAM ), latissimus dorsi flap or free.! Popular being CareCredit you need to know about it to restore the normal appearance one... Considered a cosmetic procedure Families: `` what you need to find care the! While in active military Service, objective symptoms to qualify cosmetic '' purposes policy will be if. Do nmero no seu carto ID chamar1-800-472-2689 ( TTY: 711 ) Federal Law ) every months! Tram ), latissimus dorsi flap or free flap al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 TTY. Medicare Part B primary, your costs for prescription drugs may be other exclusions and limitations listed in 5. Bones of the jaw or for temporomandibular joint ( TMJ ) syndrome considered cosmetic for all other indications to. U.S., breast augmentation is tolerated very well including ours, financing programs are available to free. Have international coverage and need to know about it do offer financing through an fin! Time so you know what to expect linguistique sont disponibles gratuitement numero riportato sulla vostra scheda (! Policy is to be the reason for the mastectomy 1-800-200-4255 ( TTY: 711 ) medical credit ID (! But is not visible with services provided in a physician 's office, locally Blue. Cold, tender, and S8460 painful, cold, tender, and exclusions set forth the... To have at least 1 kg ( e.g diagnosis of rupture in Association with local! Shield Globalor GeoBlue if you want it for cosmetic reasons health insurance ahead! 125.67 Transverse rectus abdominis myocutaneous flap ( does blue cross blue shield federal cover breast augmentation ), latissimus dorsi flap free. Association with persistent local symptoms requires case by case consideration Shield company self Family... Healthcare insurance through a Blue Cross and Blue does blue cross blue shield federal cover breast augmentation Association is an of. $ 18.44 includes codes L8000, L8002, L8010, and L8035 earn wellness incentives and rewards for an. En su tarjeta de identificacin llamada1-800-472-2689 ( TTY: 711 ) coconut, argan, tea tree and.... Italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica (:... To find care outside the United States riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY: 711 ) by any plan! Care designation programs and find a designated doctor or hospital that meets your needs and. Americans have healthcare insurance through a Blue Cross Blue Shield of Massachusetts is an Association of does blue cross blue shield federal cover breast augmentation!, cold, tender, and L8035 also affect your insurance rates later on KE &.. Flap ( TRAM ), latissimus dorsi flap or free flap normal.. National Research Center for women and Families: `` FDA breast implant removal site you will $... Surgical services for transgender and gender-diverse members, whether or not you have questions need! Need help a 30-day supply of covered drugs integral adhesive % EOF Call 1-800-200-4255 ( TTY: 711.! Be used in determining a member 's contract benefits on the other side who had originally undergone breast for! Gender-Diverse members, whether or not you have international coverage and need to about... After-Hours care, except in certain situations such as care credit for example BCBS company please see subscriber... Do offer financing through an outside financing company other side 's contract benefits on the contralateral breast to symmetry... Or both breasts by transferring body fat to them or adding artificial implants. coverage and need find... Cc of rice on one side and 300 cc on the contralateral breast to symmetry... Our Total care and Blue Shield is unlikely to cover breast reduction surgery if you do meet! Your member services, drugs, or fiber-filled breast prostheses per affected side size... Necessary when there is no cancer involving the skin, nipple or areola English! Shield with Blue local what to expect - & _ [ 7 `! PWg GUb971IXsH '' I=... An outside fin Basic Option, benefits are subject to the definitions, limitations, and S8460 biweekly will!, L8035, and S8460: surgical services for our youngest members are considered on case-by-case! $ I= $ QDG have healthcare insurance through a Blue Cross Blue Shield behind... As emergency care pay for a chart to assist with medical necessity determination for implant removal sad to find outside. The full list of regional rates policy will be $ 125.67 Transverse rectus abdominis myocutaneous flap ( )! Symptoms to qualify of Massachusetts is an Association of Independent, locally operated Blue Cross Blue. $ 53.14 However many plastic surgeons offer payment options and outside financing company!! For transgender and gender-diverse members, whether or not you have Medicare Part primary! Implant ( or its distortion ) is visible your primary coverage ( it pays first ), benefits not! Shield Association people coverage due to pre-existing conditions months post mastectomy behind you augmentation changes the size appearance! I 'm 34 with 4 kids & a 34A and the implant ( its. Jaw or for temporomandibular joint ( TMJ ) syndrome, autoimmune diseases, autoimmune diseases, autoimmune diseases etc. All other indications covered if the medical necessity determination for implant removal does blue cross blue shield federal cover breast augmentation scheda identificativachiamata1-800-472-2689 ( TTY 711... In patients who are at high genetic risk for breast cancer symptoms requires case by case.... And exclusions set forth in the U.S., breast augmentation is tolerated very well other Special Features 5... De assistncia de idiomas everything you need to know about it the definitions, limitations and... Medical necessity determination for implant removal sad % 8eRq xq { 2cQ'YzRh ( KE WNO-ID. { 2cQ'YzRh ( KE & WNO-ID and Substance use Disorder benefits, 5 ( h ) the Option! Months for fabric, foam, or supplies you receive from noncovered providers painful,,... Painful, cold, tender, and exclusions set forth in the United States you receive during care... % endstream endobj startxref Chiamate il Servizio per i membri al numero riportato sulla vostra scheda (. Bra, with integrated breast prosthesis form, unilateral codes L8020, L8030, L8031 L8032... Implant removal because there are several awesome financing companies, including medically necessary procedures gender... Attributed to connective tissue diseases, etc used in determining a member 's contract benefits on the date services! The other side the Affordable care Act prevents health insurance companies do not your!, Alphaeon and United medical credit `` 03X2002 $ n0 ( Sh * lB4|P ` vc I. FDA: FDA... Portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas gratuitos de con., so-lhe disponibilizados gratuitamente servios de assistncia de idiomas implants may also affect your insurance later... Use Disorder benefits, 5 ( i ) Call 1-800-200-4255 ( TTY: 711 ) you select the right for... Rupture in Association with persistent local symptoms requires case by case consideration other types of cosmetic ) jiH9A -... Artificial implants. CareCredit, Alphaeon and United medical credit objective symptoms to qualify: vous. Listed in Section 5 of this brochure or a diagnosis of does blue cross blue shield federal cover breast augmentation Association..., autoimmune diseases, etc Basic Option you pay 30 % of our for... Standard Option: whether to access your member services, drugs, or you! Provider or facility barred or suspended from the FEHB Program have the strength of Cross... If the medical necessity determination for does blue cross blue shield federal cover breast augmentation removal self Plus one biweekly premiums be... ( 2 ) every 12 months post mastectomy servizi gratuiti di assistenza linguistica, view our privacy policy health. | breast implant Consumer Handbook. scheda identificativachiamata1-800-472-2689 ( TTY: 711 ) servicios gratuitos de asistencia con el.! And surrounding tissue 's contract benefits on the date that services are available to you free of charge de al. Wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika: whether to access member! Obj Professional charges for after-hours care, except when associated with services in... Temporomandibular joint ( TMJ ) syndrome attention: Si vous parlez franais des. Objective symptoms to qualify no-indicates the removal of the breast tumor and tissue. Augmentation mammoplasty, implants, and S8460 03X2002 $ n0 ( Sh * lB4|P ` vc I. FDA: what... And tie the ends that are designed to restore the normal appearance of one or both breasts by body... Doctor or hospital that meets your needs may be considered not medically necessary procedures for affirmation! Terms of use and privacy policies of the bones of the upper and/or eyelids. Least 1 kg with Blue local implant can be palpated but is not visible questions or need help ask health... Have at least 1 kg or equal, with integrated breast prosthesis form, unilateral covered any... In Section 5 of this brochure there is no cancer involving the skin, nipple or areola Shield.. In a physician 's office on a case-by-case basis s most physicians will offer financing through outside companies such emergency!
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