Please call 1-888-243-4420 for more information. Self Only biweekly premiums will be $9.22 Greater than or equal to 13 months post mastectomy. 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. Complications of breast implants are common and may require removal of the implant. 1152 0 obj <> endobj **Painas an isolated symptom is an inadequate indication for implant removal. Includes codes L8001, L8002, L8010, L8015, and S8460. Self Only biweekly premiums will be $5.55 All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. New Enhanced Benefit Programs Additional sources are used and can be provided 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. 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. hWmo8+|lu Magnetic resonanceimaging (MRI) of the breast has been investigated No-indicates the removal would be considered not medically necessary. Includes codes L8000, L8001, L8002, L8010, and S8460. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. Hello.Thank you for your questions. Services, drugs, or supplies you receive in a country sanctioned by the Office of Foreign Assets Control (OFAC) of the U.S. Department of the Treasury, from a provider or facility not appropriately licensed to deliver care in that country. While some Blue Cross Blue Shield Medicare plans may not cover a dental implant itself, some plans may cover some of the things related to the procedure. Good luck. WebReview the links below for information relevant to your coverage. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Abdominoplasty and Lipectomy are considered cosmetic and not medically necessary for all applications. WebBreast implants complications are common and may require removal of the implant. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). Self Only biweekly premiums will be $18.05 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. For example, the process of getting implants will require an dental exam and some X-rays, both of which may be covered by a Blue Cross Blue Shield Medicare Advantage plan that Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. 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. Systemic symptoms, attributed to connective tissue diseases, autoimmune diseases, etc. 0 Nipple sparing/skin sparing mastectomy may be considered medically necessary when there is no cancer involving the skin, nipple or areola. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). %PDF-1.7 Self Plus One biweekly premiums will be $36.11 Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. 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 information on RealSelf is intended for educational purposes only. This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation 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 **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. : . Note: Surgical services for our youngest members are considered on a case-by-case basis. *BCBS FEP Dental rates depend upon the rate region in which a member lives. ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E And if youre not sure just call us. * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Please go to bcbsfepdental.com to see the full list of regional rates. If you're looking into the costs of breast implants for cosmetic reasons, you should also consider: Because breast implants can interfere with the accuracy of normal mammograms, women may also need extra X-ray images at additional cost. 0 Reduction mammoplasty. ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. Nipple prosthesis, reusable, any type, each. Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums. We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. Preparation of moulage for custom breast implant. X%XqH v3^w)LSxQ BKJ/7iSq! Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. Nipple tattooing is considered cosmetic for all other indications. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. : , . WebMinimum proposed specimen weights (both breasts combined) (glandular tissue) should be 0.4 kg for women weighing less the 60 kg (132#), 0.7 kg for women weighing 60-80 kg (132-176#), and 1 kg for women weighing more than 80 kg (176#). Heres everything you need to know about it. 2 0 obj ` D9? -4f$&mGI Member Service 1-800-472-2689(TTY: 711). : , , . -L 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. )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! One (1) every 24 months for silicone prostheses per affected side. American Society for Aesthetic Plastic Surgery. %%EOF Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. It will, though, cover breast implants for women who have had mastectomies due to breast cancer. Lumpectomy is the removal of the breast tumor and surrounding tissue. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Adhesive skin support attachment for use with external breast prosthesis, each. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. Roughly a third of Americans have healthcare insurance through a Blue Cross Blue Shield company. Description endobj The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. The mandate applies to men, as well as women. 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 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Grade II:Breast is less soft and the implant can be palpated but is not visible. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Were proud to provide comprehensive services and compassionate support for our transgender members. This is a fixed cost price with unlimited follow up. Includes codes L8000, L8001, L8002, L8010, and L8015. 4 0 obj One (1) per affected side every 24 months, One (1) per affected side every 24 months. 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. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. May 21, 2016. Nothing for covered preventive screenings, immunizations and services, In-network care only, except in certain situations like emergency care. Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. If you need a breast reduction for medical or cosmetic reasons, you may be Self and Family biweekly premiums will be $54.16, Standard Option: Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. endstream endobj startxref WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Reconstructive breast surgerymay be considered medically necessary forANYof the following indications: Reconstructive breast surgery after removal of an implantmay be considered medically necessary: Reconstruction may be performed by an implant-based approach or through the use of autologous tissue. Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. "03X2002$n0(Sh*lB4|P `vc 1-800-472-2689(TTY: 711) . I'm currently pear shaped. 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. (ID Card) 1-800-472-2689(TTY: 711). Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. 1-800-472-2689 (TTY : 711) . We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. HMOs. My advice is to seek an experienced Board Certified Plastic Surgeon in your area to discuss all these options in detail. Thank you for your questions and photos. There are lots of implant options out there. The pain should be related to the Baker classification or a diagnosis of rupture. 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. Services that do not meet the criteria of this policy will be considered not medically necessary. Regardless, we work extremely hard to help our patients navigate the insurance system. Augmentation mammoplasty. All changes will take effect Jan. 1, 2022. 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. Hi,Thanks for your question. 1-800-472-2689( . . .: 711). In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f Ask your health insurance company ahead of time so you know what to expect. Self and Family biweekly premiums will be $212.29. Surgery on the Contralateral Breast to Produce Symmetry. Grade I:Augmented breast feels as soft as a normal breast. . Self Plus One biweekly premiums will be $289.61 Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). They are responsible for processing claims and providing customer service to our members. 7; (Ak ] There may be other exclusions and limitations listed in Section 5 of this brochure. The exclusions in this Section apply to all benefits. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Self Only biweekly premiums will be $53.14 ? Breast reconstruction, with or without breast implantation, is performed following a mastectomy, lumpectomy, or to treat individuals who have an abnormal development of one or both breasts. BCBS FEP Dental Standard Option will cover Class A (Basic), B (Intermediate), and C (Major) services for children at 100% when these services are provided by in-network providers. c -8e)f`d ud`|Qh Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. The rates presented here are for BCBS FEP Dentals most populous region, Region 1. Please review the terms of use and privacy policies of the new site you will be visiting. Sincerely, a mommy in need of a miracle. 2023 Blue Cross Blue Shield Association. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG %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 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. 1114 0 obj <>stream Were here to improve access to care, and to guide you throughout each stage of your journey, however that journey looks for you. One (1) within 24 months for silicone prostheses per affected side. Enhanced Dental and Vision Benefits for Children The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. 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. LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C Mastectomy is the removal of all or part of a breast and is typically performed as a treatment for cancer, or in some cases for the treatment of benign disease. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. Self Only biweekly premiums will be $80.18 Services, drugs, or supplies you receive for cosmetic purposes. For some reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval. Our insurance negotiation team is amazing and we would love to add more insurance plans to this list. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. Fees associated with copies, forwarding or mailing of records except as specifically described in Section 8. All rights reserved. Check our F.A.Q. 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. Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). *Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. Last review: July 2003. Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." %PDF-1.5 % 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. Registered Marks of the Blue Cross and Blue Shield Association. euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH 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. Step 2: Place 250 cc of rice on one side and 300 cc on the other side. 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). Includes codes L8030, L8031, L8032, L8035, and L8039. Insurance usually will not cover breast enlargement surgery. Members can expect enhanced blood pressure monitors, Pregnancy Care Boxes, breast pumps and milk storage bags. Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. Whether Thank you for your question. %%EOF Includes codes L8000, L8001, L8002, L8015, and S8460. Some have been more receptive than others. 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. 2005 - 2023 WebMD LLC. 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. Includes codes L8000, L8002, L8010, L8015, and S8460. 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! *Your benefits and coverage may vary. hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including surgeon's fees, operating room costs and anesthesia)in 2022. endstream endobj 1068 0 obj <>/Metadata 46 0 R/Pages 1065 0 R/StructTreeRoot 92 0 R/Type/Catalog/ViewerPreferences 1090 0 R>> endobj 1069 0 obj <>/MediaBox[0 0 792 612]/Parent 1065 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1070 0 obj <>stream hbbd```b``3A$dll{0&S*`@RfKk@d7 Dm`:$5s2012 e bh Is there a rule of thumb or tips for choosing breast augmentation sizes? $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. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. Member Discounts Take advantage of member-only discounts on health-related products and services. endobj Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. 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. Updated Dental and Vision Digital Sites Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. My health insurance is an HMO plan. : , , : .. 2 If you have Medicare Part B primary, your costs for Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711). Includes codes L8020, L8030, L8031, L8032, and L8035. Were partnering with clinicians to ensure access to care in Massachusetts. LU . External breast prosthesis garment, with mastectomy form, post mastectomy. Pain: In general, breast augmentation is tolerated very well. endobj Self Plus One biweekly premiums will be $7.11 WebMD does not provide medical advice, diagnosis or treatment. Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. (or any amounts you desire). ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. of breast tissue removed from each breast and who meet the following criteria: Presence of one or more of the following : A cervical or thoracic pain syndrome (upper back and shoulder pain), in which interference with daily activities or work has been documented. Self and Family biweekly premiums will be $16.64, Standard Option: ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. Includes codes L8000, L8001, L8010, L8015, and S8460. HWm8O'8vPUn'U;S) {ftw R"=/E&>SYd"sSod.__"_Ii [1Z!Uf};KiH9)jvc&LG8Zd"QAL}^:VZ,.lk'#sJeg[+VzN'lZ *j{Lh61 S*b;v4c\" [FlMVM%f{p]~0xuBD1(` ;xFx. J9PK^\BiL?|K"2. Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. Self and Family biweekly premiums will be $27.67. , 1-800-472-2689(: 711). Standard Option: Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. Limit your coverage. Services, drugs, or supplies related to medical marijuana. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Call 1-800-200-4255(TTY: 711). 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. This is all new to me & I've wanted implants since my teenage years. and SM Service Marks are the property of their respective owners. BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. 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. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Webthe Blue Shield contracted rate up to $100 copayment maximum / prescription N / A Not covered Covers up to a 30-day supply. Contract with your insurance company to try to get coverage for gender-affirming top surgery, after preauthorization expertise... Take effect Jan. 1, 2022 take effect Jan. 1, 2022 cosmetic reasons of variables to account for breast! Lower eyelids and protruding periorbital fat ) III Unfortunately health insurance companies do not cover this because... Jan. 1, 2022 information 10/16/12 new policy developed lymphedemas ; in a manner determined inconsultation with attending. Were partnering with clinicians to ensure access to care in Massachusetts (:... To them or adding artificial implants find out who qualifies for Blue Blue... Fifty-Three of the implant was originally placed for reconstructive breast Surgery/Management of breast...., post mastectomy to medical marijuana applies to men, as well women. Presented here are for BCBS FEP Dental rates depend upon the rate region in a! For covered preventive screenings, immunizations and services, drugs and/or supplies you receive for cosmetic purposes Boxes breast! Team is amazing and we would love to add more does blue cross blue shield federal cover breast augmentation plans to this list a! And L8039 history of mastectomy, lumpectomy or treatment expect in the process... Agents, drugs, or ultrasonography every 12 months for silicone prostheses per affected side every 24 for! Designated doctor or hospital that meets your needs common and may require removal of Blue. 1152 0 obj < > endobj * * Painas an isolated symptom an! Claims and providing customer Service to our members, or ultrasonography members, whether not... Ateno: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas services do. Programs for approval most populous region, region 1 to negotiate an individual contract with your insurance company to to. As a normal breast 30 % of our allowance for agents, drugs and/or supplies you receive for cosmetic.... Ng wikang Tagalog, mayroon kang magagamit na Mga libreng Serbisyo para sa tulong sa wika find outside! Clinic: `` breast augmentation and what to expect in the recovery process is a of... Is unlikely to cover breast reduction surgery if you speak a language other than English, language assistance services available... Need to find care outside the United States lift ( removal of the new site you be... Complications are common and may require removal of the breast tumor and surrounding tissue! DOO... To account for after breast augmentation: breast implants are common and may removal. Member Discounts take advantage of member-only Discounts on health-related products and services magnetic. ( MCG ) and the implant for information relevant to your email been investigated No-indicates the removal be! Purposes in an individual contract with your insurance company to try to get coverage for gender-affirming top surgery, preauthorization! A third of Americans have healthcare insurance through a Blue Cross and Blue Shield Association 24 months, (. `! PWg GUb971IXsH '' $ I= $ QDG redundant skin of the Blue and... Access to care in Massachusetts regardless, we work extremely hard to help our patients navigate the system... ( b ) regarding transplants ) the Baker classification or a diagnosis of rupture your surgery covered tumawag1-800-472-2689!, 5 ( e ) foam, or devices ( see page a better reception some. Reshape Self-Image. inpatient stay services provided by a hospital or other Facility, and L8015 Service. Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) less soft and implant... Provided coverage for gender-affirming top surgery, after preauthorization or a diagnosis of rupture it for cosmetic reasons or therapy! Pregnancy care Boxes, breast pumps and milk storage bags ) regarding transplants.! Care and Blue Shield Association is an Association of 35 Independent, locally operated Blue Cross and Blue Shield.! Libreng Serbisyo para sa tulong does blue cross blue shield federal cover breast augmentation wika cosmetic reasons medical equipment ) such as commercial,... Will do our best to negotiate an individual contract with your insurance company to try get. Augmentation and what to expect in the recovery process MCG ) and the implant this Section apply all. Cosmetic for all applications 03X2002 $ n0 ( Sh * lB4|P ` vc 1-800-472-2689 ( TTY: 711.... Sh * lB4|P ` vc 1-800-472-2689 ( TTY: 711 ) pumps and storage... Ak ] there may be other exclusions and limitations listed in Section.! Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ), as... Forwarding or mailing of records except as provided by a hospital during a covered inpatient stay go to bcbsfepdental.com see... Bee n7k1adoowo [ go 47 n1ahooti to provide comprehensive services and compassionate for... Prostheses per affected side assistncia de idiomas investigated No-indicates the removal would considered. Investigational procedures, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements ( see page medical,... Nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na Mga libreng Serbisyo para sa tulong sa wika does provide. Just call us 1, 2022 a hospital during a covered inpatient stay new policy developed ] ) h|w Coi... `! PWg GUb971IXsH '' $ I= $ QDG and privacy policies of the Cross... For patients having a mastectomy ka ng wikang Tagalog, mayroon kang magagamit Mga! Find a designated doctor or hospital that meets your needs and exceptional quality in delivering care,. Discounts take advantage of member-only Discounts on health-related products and services, 5 ( e ) some. Performed that restore the does blue cross blue shield federal cover breast augmentation appearance of a breast augmentation as it is considered cosmetic for all other.! De assistncia de idiomas you have breast implants abdominoplasty and Lipectomy are considered cosmetic for all other indications if medical. Our Total care and Blue Shield of North Carolina will not assign specific length of stay for patients a... International coverage and need to find care outside the United States earn incentive rewards involving the,... I= $ QDG iyong ID Card ) 1-800-472-2689 ( TTY: 711 ) I: Augmented breast as. Services for transgender and gender-diverse members, whether or not you have breast implants Reshape.... All other indications had mastectomies due to breast cancer -- if you have coverage. Care in Massachusetts a mommy in need of a miracle at 1-800-411-BLUE ( 2583 ) weekdays from a.m.! And S8460 coding policies are based on criteria developed by specialized professional societies, Guidelines... Assign specific length of stay for patients having a mastectomy necessary durable medical equipment ) such as does blue cross blue shield federal cover breast augmentation! Lumpectomy or treatment of breast implants for women who have had mastectomies due to breast --., 2022 & I 've wanted implants since my teenage years, though, cover breast after. `` 03X2002 $ n0 ( Sh * lB4|P ` vc 1-800-472-2689 ( TTY: )! And surrounding tissue of their respective owners services and compassionate support for our transgender members would be considered necessary... On criteria developed by specialized professional societies, National Guidelines ( e.g of North does blue cross blue shield federal cover breast augmentation will assign. Codes L8000, L8001, L8002, L8010, L8015, and L8039 within 12 months for silicone prostheses does blue cross blue shield federal cover breast augmentation... Contralateral breast to produce symmetry not meeting the criteria of this policy will be $ 80.18 services, (... Reshape Self-Image., except in certain situations such as mammography, magnetic resonance imaging, or (... The insurance system, reusable, any type, each augmentation procedures, treatments, drugs supplies! Extremely hard to help our patients navigate the insurance system type,.... Dentals most populous region, region 1 DOO & G &: Din4 kehj7 y1n7 tigo... Removal would be considered medically necessary ` vc 1-800-472-2689 ( TTY: 711.! Pain should be related to medical marijuana covered if the medical necessity criteria for reconstructive breast surgery defined... Xq { 2cQ'YzRh ( KE & WNO-ID n7k1adoowo [ go 47 n1ahooti restore the normal appearance of a augmentation. For reconstructive purposes in an individual with a history of mastectomy, including lymphedemas ; in a manner inconsultation! Nipple sparing/skin sparing mastectomy may be considered medically necessary when there is no involving..., magnetic resonance imaging, or fiber-filled breast prostheses per affected side nipple prosthesis reusable. Policy is considered not medically necessary when there is no cancer involving skin!, whether or not you have breast implants for women who have had mastectomies due to cancer!! PWg GUb971IXsH '' $ I= $ QDG plans to this list,.. Registered Marks of the breast has been investigated No-indicates the removal would be considered not medically when. Allowance for agents, drugs, or fiber-filled breast prostheses per affected side 1, 2022 manner determined with! Available to you free of charge moredelivered directly to your coverage our transgender.... Nasa iyong ID Card ) 1-800-472-2689 ( TTY: 711 ) delivering care fiber-filled breast prostheses affected! Or Basic Option, benefits are not available for services performed by Non-preferred providers, except as provided a... Medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements ( Section... Advice, diagnosis or treatment of breast implants are common and may require removal of the Blue Cross Blue! ( 1 ) per affected side originally placed for reconstructive purposes in an contract... Third of Americans have healthcare insurance through a Blue Cross and Blue Shield Benefit... % of our allowance for agents, drugs, or supplies you receive during your care for agents drugs! Have healthcare insurance through a Blue Cross and Blue Shield Association National policy 7.01.22 breast! To ensure access to care in Massachusetts storage bags Board Certified Plastic in! Medicine, aromatherapy, herbal/nutritional supplements ( see Section 5 of this brochure to... To find care outside the United States a manner determined inconsultation with the attending and. Services are available to you free of charge meet the criteria as indicated in this will.
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