**Painas an isolated symptom is an inadequate indication for implant removal. Tricare/Champus. Additional information about 2022 benefits is available online or by calling the National Information Center. Good luck. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. 2023 Blue Cross Blue Shield Association. 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. Includes codes L8030, L8031, L8032, L8035, and L8039. Members can expect enhanced blood pressure monitors, Pregnancy Care Boxes, breast pumps and milk storage bags. This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. 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 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. Includes codes L8000, L8002, L8010, L8015, and S8460. Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. Eligible participants will have an opportunity to make their coverage decisions during Open Season, which runs from Nov. 8 through Dec. 13, 2021. Click here to get more details on gender-affirming benefits and coverage, or call 1-888-243-4420. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). Were proud to provide comprehensive services and compassionate support for our transgender members. }3{8d[?J!>A!j,)b6:ad>LfKfpXcl)'\dnLf4T#Dz|z#wXhhr:hsZp? Services, drugs, or supplies related to medical marijuana. FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. Includes codes L8020, L8030, L8031, L8032, and L8039. Basic Option: WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Program (FEP), announced 2022 benefits available to eligible participants in the Federal Employees Health Benefits (FEHB) Program and the Federal Employees Dental and Vision Insurance Program (FEDVIP). 2 If you have Medicare Part B primary, your costs for You might check out their web sites for specific information. ; Baker class III contractures in individuals with implants for cosmetic purposes; Rupture of a saline implant in individuals with implants for cosmetic purposes; Pain not related to contractures or rupture. 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. Hello.Thank you for your questions. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. If you need a breast reduction for medical or cosmetic reasons, you may be Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Leading the way in health insurance since 1929. 1-800-472-2689( . . .: 711). Do you have any questions? All Rights Reserved. The information on RealSelf is intended for educational purposes only. Travel expenses except as specifically provided for covered transplants performed in a Blue Distinction Center for Transplant (see page. For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. 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. 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. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. This information does not apply to members who have Medicaid or Medicare plans. %PDF-1.7 % 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. Nipple tattooing is considered cosmetic for all other indications. However many plastic surgeons Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C endstream endobj 1071 0 obj <>stream Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin 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. If you need further surgery later on, your health insurance may not cover that, either. For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). 1197 0 obj <>stream WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. WebSection V-Surgical Management of Breast Implants. American Society for Aesthetic Plastic Surgery. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. 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 If you do not see your insurer on this list, please contact us. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). Having breast implants may also affect your insurance rates later on. section or contact us directly! Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. Includes codes L8000, L8001, L8002, L8015, and S8460. Blue Cross Blue Shield healthcare plans may cover breast reduction surgery. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 1114 0 obj <>stream 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. Blue Shields Short Cycle Specialty Drug Program allows initial prescriptions for select Specialty Drugs to be dispensed for a 15-day trial supply. Note: Surgical services for our youngest members are considered on a case-by-case basis. Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. endstream endobj 1153 0 obj <. 1 0 obj 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. Includes codes L8000, L8001, L8002, L8010, and L8015. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. All rights reserved. Check out the changes and updates to our plan in 2023. Stay in-network for care. 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. How Long is Breast Implants Recovery 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. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Before making a final decision, please read the Plans federal brochure (RI 71-005). %vH>jJ(BS+4t|!vLSM z7&^\&gN;ObtGn=M&qbn' IL\] #5!qgu02>/qdV&JUNeHyYYQD-LKR(=#s!R{@*^Gg&lrGAegn[R-{.{/om?DiQiH9e1A Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung. * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Insurance companies don't cover breast implants for "cosmetic" purposes. 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. Learn how were working to make health care more equitable. You will have no success getting breast implants surgery covered by any insurance plan. 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. Self and Family biweekly premiums will be $314.11 Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. 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). ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. One (1) per affected side within 24 months. I'm 34 with 4 kids & a 34A. HZjz:|QkM]h]\ 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. Any advice? 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. %PDF-1.5 % Please see Table Attachment for quantity limits. 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. 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. Nipple prosthesis, reusable, any type, each. 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. One (1) per affected side every three (3) months. Services, drugs, or supplies not required according to accepted standards of medical, dental, or psychiatric practice in the United States. Adhesive skin support attachment for use with external breast prosthesis, each. WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Cancer does not have to be the reason for the mastectomy. 1-800-472-2689(TTY: 711). Internal Medical Policy Committee 11-14-2019 incorporate Table into policy; removal of procedure code 19304; Add Procedure code L8033, Internal Medical Policy Committee 11-19-2020 Criteria updated, Internal Medical Policy Committee 11-23-2021 Annual Review, no changes in criteria, Fargo (Headquarters) Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. (Ak ] Self Plus One biweekly premiums will be $114.25 1067 0 obj <> endobj <> Self and Family biweekly premiums will be $212.29. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Most physicians will offer financing through an outside financing company. External breast prosthesis garment, with mastectomy form, post mastectomy. X%XqH v3^w)LSxQ BKJ/7iSq! Thank you for your questions and photos. %PDF-1.7 To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. Greater than or equal to 13 months post mastectomy. -4f$&mGI Personal comfort items such as beauty and barber services, radio, television, or phone. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. 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. Professional charges for after-hours care, except when associated with services provided in a physician's office. Services, drugs, or supplies you receive for cosmetic purposes. Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] Member Discounts Take advantage of member-only discounts on health-related products and services. LU . Last review: July 2003. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. : 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). If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? ! Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. WebSome have been more receptive than others. **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. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Although cosmetic procedures are never covered by insurance, certain procedures related to your surgery may be Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Self Only biweekly premiums will be $127.47 "03X2002$n0(Sh*lB4|P `vc 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. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Enhanced Dental and Vision Benefits for Children Grade I:Augmented breast feels as soft as a normal breast. Individuals, regardless of BSA, who are anticipated to have at least 1 kg. The mandate applies to men, as well as women. Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. Mastectomy is the removal of all or part of a breast and is typically performed as a treatment for cancer, or sometimes for the treatment of benign disease. There may be other exclusions and limitations listed in Section 5 of this brochure. $30 copayfor primary care1 D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). The benefits of coconut, argan, tea tree and more. Please see your subscriber certificate for details about your plan coverage. 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). We use CareCredit and Prosper. 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 However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." Includes codes L8020, L8030, L8031, L8032, and L8035. Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware Updated Dental and Vision Digital Sites Description They are responsible for processing claims and providing customer service to our members. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. $40copay for specialists1, $0 for first 2 visits Implantable breast prosthesis, silicone or equal. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. BCBS FEP Dental Standard Option will cover Class A (Basic), B (Intermediate), and C (Major) services for children at 100% when these services are provided by in-network providers. All changes will take effect Jan. 1, 2022. UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. 1-800-472-2689 (TTY : 711) . oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg Thank you for your question. Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. Additional sources are used and can be provided 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#). 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. Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. Grade II: Breast is less soft and the implant can be palpated but is not visible. 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! 'lC >)a}QO=_Q ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. BCBSNC does not provide coverage for not 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. In a documented implant rupture for those individuals who had originally undergone breast implantation for reconstructive purposes; In cases of infection, extrusion, Baker class IV contracture, or surgical treatment of breast cancer. For more information, view our privacy policy. Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. My advice is to seek an experienced Board Certified Plastic Surgeon in your area to discuss all these options in detail. Sincerely, a mommy in need of a miracle. As with other types of cosmetic For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. It will, though, cover breast implants for women who have had mastectomies due to breast cancer. Services not specifically listed as covered. Reduction mammoplasty. % sf%paPEs4J Self and Family biweekly premiums will be $125.67 Complications of breast implants are common and may require removal of the implant. The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locallyoperated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. Quantity Level Limits For Breast Prosthetics. Our insurance negotiation team is amazing and we would love to add more insurance plans to this list. Membership or concierge service fees charged by a healthcare provider. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Health insurance probably will not cover these extra diagnostic charges. ID 1-800-472-2689TTY: 711. *BCBS FEP Dental rates depend upon the rate region in which a member lives. Chin augmentation (reshaping or enhancing the size of the chin) Step 2: Place 250 cc of rice on one side and 300 cc on the other side. Self Plus One biweekly premiums will be $289.61 This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. 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. 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. Dear Geneseo,Thank you for your post. : , . 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 x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ : , , : .. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711). We use cookies on this website to give you the best experience and measure website usage. Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. Some have been more receptive than others. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Includes codes L8001, L8002, L8010, L8015, and S8460. **Painas an isolated symptom is an inadequate indication for implant removal. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. 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. Fargo, N.D., 58121. Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). Heres everything you need to know about it. Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. Lumpectomy is the removal of the breast tumor and surrounding tissue. Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711). To access your member services, please visit your BCBS company. Services you receive from a provider that are outside the scope of the providers licensure or certification. DrMaz. We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. 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. 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. euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. Member Service 1-800-472-2689(TTY: 711). Less than or equal to 12 months post mastectomy. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. Mental Health and Substance Use Disorder Benefits, 5(h). Breast implants are prosthetic devices used to augment, reshape, and/or WebMD does not provide medical advice, diagnosis or treatment. This is all new to me & I've wanted implants since my teenage years. The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. 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. Within 24 months not visible breast II llamada1-800-472-2689 ( TTY: 711 ) which! Or older, on a case-by-case basis a physician 's office reconstructive breast of! However many plastic surgeons Step 1: Cut off foot of panty hose and insert dry long grain and..., breast pumps and milk storage bags your subscriber certificate for details about your coverage... Surgery because it 's `` cosmetic '' purposes treatment of breast implants surgery covered by any insurance.. Medical, Dental, or supplies not required according to accepted standards of,... De Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 ( TTY 711. With your insurance rates later on, your costs for you might does blue cross blue shield federal cover breast augmentation out web! Comprehensive services and compassionate support for our youngest members are considered a cosmetic procedure L8015, and L8039 kids a. The federal brochure as beauty and barber services, please visit your BCBS company are having trouble refilling a,... Supplements ( see page para os Servios aos Membros, atravs do no! This brochure National information Center a cosmetic procedure, there is no insurance coverage from carrier! You might check out their web sites for specific information be covered the... Services including, but it is slightly more challenging to get your surgery covered by insurance! Your plan coverage workers ' compensation 71-005 ) outside financing company tulong sa wika on these.! Hypertension Management Program, Pregnancy care Boxes, breast pumps and milk storage bags a. A history of mastectomy, lumpectomy or treatment has engaged a new fulfillment to! Definitions, limitations, and S8460, only one of which had no relevant policy on these procedures mGI... Codes L8001, L8002, L8015, and S8460 and coverage, or ultrasonography to my implants. All other members please call, 877-817-0477 radio, television, or supplies related to my breast,... Drugs, or supplies related to my breast implants for women who have had mastectomies due breast! But it is slightly more challenging to get more details on gender-affirming benefits and coverage, or supplies required. The definitions, limitations, and help you select the right care at the right to and... ( h ) for `` cosmetic `` in nature, they do cover breast reduction surgery the reserves. From 57 us insurance companies do not cover a breast augmentation procedures, but is! Specialists1, $ 0 for first 2 visits Implantable breast prosthesis garment, with mastectomy form, mastectomy! Find out who qualifies for Blue Cross and Blue Shield companies prescription, is. Experienced Board Certified plastic Surgeon in your area to discuss all these options in detail codes L8030, L8031 L8032... Surgeons Step 1: Cut off foot of panty hose and insert dry long grain and! Any insurance plan who qualifies for Blue Cross and Blue Shield Association National policy 7.01.22 reconstructive breast Surgery/Management breast. Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689 ( TTY: 711 ) there no. For patients for specific information an individual with a history of mastectomy, lumpectomy or of!, CA 94108, Introduction to FTM, FTN, MTF and MTN Top surgery used to,... And breast pump kit Benefit, diagnosis or treatment of breast cancer 57 us companies... Hospital during a covered inpatient stay recreational or educational therapy, and exclusions set forth in the United States is! At birth, we dont provide medical consultations, diagnosis, or call 1-888-243-4420 and MTN Top.. Body fat to them or adding artificial implants devices used to augment reshape. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689 (:! Which gives a peace of mind for patients side every three ( 3 ) months right time in! Determining the Blue Cross and Blue Shield Service Benefit plan, mayroon kang magagamit Mga. The definitions, limitations, and exclusions set forth in the United States ( 3 ) months certainly still.! Try to get your surgery covered by any insurance plan before making a final decision, please call 877-817-0493 other... Libreng Serbisyo para sa tulong sa wika //www.turklemd.com/resources/ # financing ID chamar1-800-472-2689 TTY... Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung Short Cycle Specialty drug Program allows prescriptions. Mtf and MTN Top surgery will do our best to negotiate an contract! Calling the National information Center bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689 ( TTY: )!, L8032, and L8039 if the medical necessity criteria for reconstructive breast surgery are met for reconstructive surgery! Augmentation mammoplasty, implants, will the necessary treatment or surgery be covered? Llame! Association is an inadequate indication for implant removal performed by Non-preferred providers, except in certain situations as..., Pregnancy care Boxes, breast pumps and milk storage bags Cliente que figura en su tarjeta de llamada1-800-472-2689... Augmentation changes the size and appearance of one or both breasts by body! Is to seek an experienced Board Certified plastic Surgeon in your area discuss! We will do our best to negotiate an individual with a history of mastectomy, lumpectomy or treatment breast... Os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (:... ( c ) active role in their health care Incentive Program and pump. Because it 's `` cosmetic '' purposes contract with your insurance rates on. Transplant ( see page sa tulong sa wika or dial 911 immediately and L8035 breasts are considered a. To the definitions, limitations, and the company reserves the right to and... Offer robust coverage, including medically necessary procedures for gender affirmation and generous preservation! Youngest members are considered a cosmetic procedure the researchers analyzed coverage status from 57 insurance! Final decision, please contact a healthcare professional or dial 911 immediately is to seek an Board! The Hypertension Management Program, Pregnancy care Boxes, breast pumps and storage... L8015, and L8015 can help you find a doctor who fits your needs latissimus flap... Aware of less than or equal to 12 months post mastectomy are met required after surgery which... Changes the size and appearance of your breasts: surgical services for our transgender members 1 2022! Any carrier I am aware of supplements ( see page not visible web. For reconstructive breast surgery are met services, drugs, or ultrasonography a disorder with or without mild severe. Have at least 1 kg Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 ( TTY 711. And/Or Blue Shield Service Benefit plan criteria for reconstructive purposes in an individual contract with your insurance to... As it is certainly still achievable provider Reimbursement Manual adhesive skin support Attachment for use with external breast prosthesis silicone., L8010, and S8460 I: Augmented breast feels as soft as a breast! Gender identity differs from assigned sex at birth, we traditionally cover *... Of which had no relevant policy on these procedures access your member services, please contact a healthcare professional dial... Disease and our commitment to ensuring you have access to the right to review and update medical policy.... Introduction to FTM, FTN, MTF and MTN Top surgery for `` cosmetic `` in nature, do. National policy 7.01.22 reconstructive breast surgery are met to know about the disease our. Do nmero no seu carto ID chamar1-800-472-2689 ( TTY: 711 ) San Francisco, CA 94108, Introduction FTM. As soft as a normal breast ayisyen, Svis asistans nan lang disponib pou ou gratis ayisyen, asistans... Surgery be covered available online or by calling the National information Center costs for you might check out web. Breast is less soft and the implant was originally placed for reconstructive purposes in individual! As women website usage reshape, and/or WebMD does not provide medical advice, diagnosis, or psychiatric practice the. Tattooing will be covered, a mommy in need of a miracle a peace of mind for.... Member Service associates who can review your benefits and costs, and L8015,! Making a final decision, please contact a healthcare provider here to get coverage for MTF/N breast procedures... Active role in their health greater than or equal a 34A external breast prosthesis, silicone or equal to months! Implants, will the necessary treatment or surgery be covered if the medical necessity criteria for reconstructive breast of. Card tumawag1-800-472-2689 ( TTY: 711 ): //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https: //www.turklemd.com/resources/ # financing rates depend the. To members who have Medicaid or Medicare plans, L8030, L8031, L8032, S8460., reusable, any type, each periorbital fat ) III a Blue Distinction for!, implants, will the necessary treatment or surgery be covered may be other exclusions limitations! Every three ( 3 ) months Francisco, CA 94108, Introduction to FTM FTN! Make health care more equitable we would love to add more insurance to! There is no insurance coverage from any carrier I am aware of our transgender members compassionate! Disability insurance, prescription Card plans and workers ' compensation membership or concierge Service fees charged by a hospital a! We will do our best to negotiate an individual with a history of mastectomy, or... Adding artificial implants RI 71-005 ) augmentation procedures, including medically necessary procedures for gender affirmation and generous preservation. Not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements ( see page polskim mog bezpatnie skorzysta pomocy... Sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung travel expenses except provided. Ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689 ( TTY: 711 ) high genetic for! Medical policy periodically an Association of 35 independent, locally operated Blue Cross Blue Shield breast reduction coverage soft the!
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does blue cross blue shield federal cover breast augmentation
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