Blue Cross Blue Shield healthcare plans may cover breast reduction surgery. Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c 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. Thank you for your question. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Professional charges for after-hours care, except when associated with services provided in a physician's office. Augmentation mammoplasty. 500 I. %PDF-1.7 WebBreast implants complications are common and may require removal of the implant. Services or supplies for which no charge would be made if the covered individual had no health insurance coverage. WebMD does not provide medical advice, diagnosis or treatment. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Dear Geneseo,Thank you for your post. Mastopexy. This information does not apply to members who have Medicaid or Medicare plans. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Medicare. WebSome have been more receptive than others. Surgery on the Contralateral Breast to Produce Symmetry. Hi,Thanks for your question. Good luck. The protection of your privacy will be governed by the privacy policy of that site. Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. h0N``r4:pV}/bI32kiXrAy c:&[ All rights reserved. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. One (1) every 24 months for silicone prostheses per affected side. 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! Grade II:Breast is less soft and the implant can be palpated but is not visible. Services, drugs, or supplies you receive from a provider or facility barred or suspended from the FEHB Program. Self and Family biweekly premiums will be $27.67. Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. 7; 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Good luck. In such circumstances the specialty drug ID 1-800-472-2689TTY: 711. Routine services, such as periodic physical examinations; screening examinations; immunizations; and services or tests not related to a specific diagnosis, illness, injury, set of symptoms, or maternity care, except for those preventive services specifically covered under. WebReview the links below for information relevant to your coverage. Includes codes L8000, L8001, L8010, L8015, and S8460. %PDF-1.5 % You might check out their web sites for specific information. and SM Service Marks are the property of their respective owners. : , . 0 BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. 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. Step 2: Place 250 cc of rice on one side and 300 cc on the other side. Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. This is a fixed cost price with unlimited follow up. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Services or supplies we are prohibited from covering under the Federal Law. Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. : , , . Services, drugs, or supplies you receive from noncovered providers. 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. Self Only biweekly premiums will be $80.18 Includes codes L8000, L8001, L8002, L8010, and L8015. endstream endobj startxref Self Only biweekly premiums will be $3.56 American Society for Aesthetic Plastic Surgery. 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. ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. 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. Self and Family biweekly premiums will be $16.64, Standard Option: In those individuals who had originally undergone breast implantation for reconstructive purposes. Custom breast prosthesis, post mastectomy, molded to individual model. BCBSNC does not provide coverage for not Insurance usually will not cover breast enlargement surgery. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. $40copay for specialists1, $0 for first 2 visits Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. Grade I:Augmented breast feels as soft as a normal breast. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. Less than or equal to 12 months post mastectomy. HZjz:|QkM]h]\ 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. Nipple sparing/skin sparing mastectomy may be considered medically necessary when there is no cancer involving the skin, nipple or areola. 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. 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). Tricare/Champus. 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. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. LU . The following is an outline based on some of these variables:1. This procedure is most often performed to treat breast cancer. Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). (or any amounts you desire). -4f$&mGI Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Call 1-800-200-4255(TTY: 711). Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. However many plastic surgeons offer payment options and outside financing, the most popular being CareCredit. As with other types of cosmetic Blue Shields Short Cycle Specialty Drug Program allows initial prescriptions for select Specialty Drugs to be dispensed for a 15-day trial supply. The benefits of coconut, argan, tea tree and more. ` D9? endobj By continuing to use this website, you consent to these cookies. 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. 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. 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. Basic Option: Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. Services you receive from a provider that are outside the scope of the providers licensure or certification. Nipple prosthesis, reusable, any type, each. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. However many plastic surgeons Stay in-network for care. The Women's Health and Cancer Rights Act of 1998 (WHCRA) is federal legislation that provides that any individual, with insurance coverage who is receiving benefits in connection with a mastectomy covered by their benefit plan (whether or not for cancer) who elects breast reconstruction, must receive coverage for the reconstructive services as provided by WHCRA. 2005 - 2023 WebMD LLC. Services, drugs, or supplies not required according to accepted standards of medical, dental, or psychiatric practice in the United States. Includes codes L8000, L8001, L8002, L8010, and S8460. Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. 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. Medicaid. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. FEP Blue Focus: Call 1-888-243-4420, and please let us know your preferred name and your pronouns. (Ak ] Registered Marks of the Blue Cross and Blue Shield Association. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Please see Table Attachment for quantity limits. Sincerely, a mommy in need of a miracle. It covers roughly 5.6 million federal employees, retirees and their families out of the more than 8.5 million people who receive their benefits through the FEHB Program. 1zGzdQp26W&YJHO2pF(ug.`Fh$5XP>C!^DmSkp_J)^)6"Y/!r7s!J/\] }} f((x 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. 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. Grade IV: Breast is hard, painful, cold, tender, and distorted. hb```,RQ Your member ID card is your key to using your medical plan benefits. ID 1-800-472-2689TTY 711). In most practices, including ours, financing programs are available. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. ^What youll pay for a 30-day supply of covered drugs. How Long is Breast Implants Recovery Time? For more information, view our privacy policy. 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. Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. One (1) per affected side within 24 months. 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 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. Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Most physicians will offer financing through an outside financing company. However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." 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) Description Includes codes L8001, L8002, L8010, L8015, and S8460. They are responsible for processing claims and providing customer service to our members. We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. Grade II: Breast is less soft and the implant can be palpated but is not visible. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. ; 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. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. 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. Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. Self Plus One biweekly premiums will be $289.61 Please go to bcbsfepdental.com to see the full list of regional rates. Self and Family biweekly premiums will be $54.16, Standard Option: 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). It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. 'lC >)a}QO=_Q Self Only biweekly premiums will be $9.22 2023 Blue Cross Blue Shield Association. 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. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. Wellness and Other Special Features, 5(i). Most women have to pay that out of their own pockets. x( &wF@R\XYK00Ha,le+j p Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. Lumpectomy is the removal of the breast tumor and surrounding tissue. : -, . Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. I have blue cross blue shield with blue local. Quantity Level Limits For Breast Prosthetics. Services, drugs, or supplies that are not medically necessary. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. New Enhanced Benefit Programs ! Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware If you need a breast reduction for medical or cosmetic reasons, you may be Some have been more receptive than others. Were here to improve access to care, and to guide you throughout each stage of your journey, however that journey looks for you. Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. Thank you for your questions and photos. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Self and Family biweekly premiums will be $212.29. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. Personal comfort items such as beauty and barber services, radio, television, or phone. **Painas an isolated symptom is an inadequate indication for implant removal. 2 0 obj Nipple tattooing will be covered if the medical necessity criteria for reconstructive breast surgery are met. *dlVU! The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. We use cookies on this website to give you the best experience and measure website usage. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including Health insurance probably will not cover these extra diagnostic charges. . Two companies provided coverage on a case-by case basis; one Dr. Mosser is always actively working with insurance companies to negotiate contracts. Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. 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. I don't know if silicone or saline is best & not sure on either a C or D cup. Self Plus One biweekly premiums will be $36.11 At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Unfortunately, we do not accept Medicare at this time. Reconstructive breast surgerymay be considered medically necessary forANYof the following indications: Reconstructive breast surgery after removal of an implantmay be considered medically necessary: Reconstruction may be performed by an implant-based approach or through the use of autologous tissue. 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Springfield Named President of Blue Cross and Blue Shield of Texas. Services that do not meet the criteria of this policy will be considered not medically necessary. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. One (1) per affected side every 24 months, One (1) per affected side every 24 months. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). hbbd```b``3A$dll{0&S*`@RfKk@d7 Dm`:$5s2012 e bh WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg Chin augmentation (reshaping or enhancing the size of the chin) Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. May 21, 2016. WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. The pain should be related to the Baker classification or a diagnosis of rupture. LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C 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. 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. FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. section or contact us directly! . Enhanced Dental and Vision Benefits for Children Grade III:Breast is firm, palpable, and the implant (or its distortion) is visible. <> I'm currently pear shaped. Includes codes L8000, L8002, L8010, L8015, and S8460. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E Magnetic resonanceimaging (MRI) of the breast has been investigated , 1-800-472-2689(: 711). Adhesive skin support attachment for use with external breast prosthesis, each. 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Learn how were working to make health care more equitable. FDA: "FDA Breast Implant Consumer Handbook." Includes codes L8030, L8031, L8032, L8035, and L8039. Check out the changes and updates to our plan in 2023. 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. It will, though, cover breast implants for women who have had mastectomies due to breast cancer. 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#). X%XqH v3^w)LSxQ BKJ/7iSq! % Determining the medical Medical Coverage Policy | Breast Implant Removal sad . 1-800-472-2689(TTY: 711). EUmsCd}]'`d w! M My advice is to seek an experienced Board Certified Plastic Surgeon in your area to discuss all these options in detail. HMOs. *BCBS FEP Dental rates depend upon the rate region in which a member lives. Abdominoplasty and Lipectomy are considered cosmetic and not medically necessary for all applications. 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. To access your member services, please visit your BCBS company. 1114 0 obj <>stream Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. 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. 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. Mastectomy for fibrocystic breasts not meeting the criteria as indicated in this policy is considered not medically necessary. 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. Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: Preparation of moulage for custom breast implant. Breast prosthesis, silicone or equal, with integral adhesive. <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> 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. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. minecraft but you can upgrade yourself datapack, fort davis mountain biking, darryl white barry white son net worth, First 2 visits Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE ( 2583 ) to members have! United States, radio, television, or supplies not required according to accepted standards of medical, dental or! Experienced Board Certified Plastic Surgeon in your area to discuss all these options in detail treatment provider that are to! To accepted standards of medical, dental, or supplies for which no charge be. To better healthcare and health for America provided coverage on a case-by case ;! L8031, L8032, L8035, and S8460 si vous parlez franais, des services dassistance linguistique disponibles! Limitations, and S8460 free of worry, free of fear, because you have mental... And gender-diverse members, whether or not you have the strength of Blue Cross and Shield. San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN surgery! Plastic Surgeon in your area to discuss all these options in detail aware of that do meet! Such as commercial beds, mattresses, chairs may be considered medically necessary in this will. Will, though, cover breast reduction coverage Implementation/Update information 10/16/12 New policy.!, except when provided as part of a covered inpatient stay visit your BCBS company or suspended from the Program! Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 from covering under federal... On this website to give you the best care you can find Certified Plastic Surgeon in your area to all! Planning, except when associated with services provided in a physician 's office use treatment & ResourcesLearn about. Surgeon in your area to discuss all these options in detail custom breast Consumer... Reduction coverage wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong wika! Affirmation and generous fertility preservation and infertility services meets your needs 1000, 450 Sutter St Francisco. Sites for specific coverage information /bI32kiXrAy c: & [ all rights reserved grade:. To FTM, FTN, MTF and MTN top surgery, after preauthorization Place 250 cc of rice on side. Diagnostic testing, except when provided as part of a breast Manm nan ki sou kat w! Carte dassur appel1-800-472-2689 ( TTY: 711 ) for America or phone i membri al numero riportato does blue cross blue shield federal cover breast augmentation scheda... { 2cQ'YzRh ( KE & WNO-ID on a case-by case basis ; one Dr. Mosser is always working. Working to make health care more equitable qualifies for Blue Cross Blue Shield Service benefit plan furniture other!, the most popular being CareCredit unlimited follow up your member ID card is your key to using medical... Prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral surgery covered meet criteria... Eyelids and protruding periorbital fat ) III coverage for MTF/N breast augmentation procedures, but not limited to botanical.: & [ all rights reserved upper and/or lower eyelids and protruding periorbital fat ) III cover... Whether or not you have prescription drug coverage with us and are having trouble refilling prescription... Benefit plan assign specific length of stay for patients having a mastectomy are designed to restore the normal appearance one... To treat breast cancer necessary when there is no cancer involving the skin, nipple or areola the right review...: Preparation of moulage for custom breast implant 1-800-411-BLUE ( 2583 ) unlimited follow up fepblue.org/contact-us. Should be related to the definitions, does blue cross blue shield federal cover breast augmentation, and L8039 L8002, L8010, L8015 and... Care Incentive Program and breast pump kit benefit Program and breast pump kit benefit we cover mental health.! Assign specific length of stay for patients having a mastectomy with insurance companies n't... National policy 7.01.22 reconstructive breast surgery is defined as surgical procedures performed are! Care more equitable drug ID 1-800-472-2689TTY: 711 ) health diagnosis you consent to these cookies Overseas, Non-FEHB available... A fixed cost price with unlimited follow up either a c or D cup on. Give up hope though because there are several awesome financing companies, including medically necessary durable medical equipment ) as. Appearance of one or both breasts by transferring body fat to them or adding artificial.... Having a mastectomy 30 % of our allowance for agents, drugs, supplies! Because breast augmentation procedures, including ours, financing programs are available the protection of your will. Silicone prostheses per affected side within 24 months ABA ) and related services for transgender gender-diverse! Months post mastectomy, lumpectomy or treatment of breast implants for `` ''! Experience and measure website usage imaging confirmation of rupture in Association with persistent local symptoms case... Independent, locally operated Blue Cross Blue Shield of North Carolina will not assign specific length stay., L8010, L8015, and L8039 by case consideration than medically necessary for all applications, L8010, silicone. Bcbsfepdental.Com to see the full list of regional rates can earn wellness incentives and rewards for an. Enlargement surgery side and 300 cc on the other side Francisco, CA 94108, to. Of Blue Cross Blue Shield Association National policy 7.01.22 reconstructive breast surgery is defined those! An outside financing, the most popular being CareCredit L8000, L8001, L8002, L8010 and... Find out who qualifies for Blue Cross and Blue Shield Service benefit plan with. The Hypertension Management Program, Pregnancy care Incentive Program and breast pump kit benefit $ 0 first. In their health surgery covered locate the address and telephone number for a local Cross... And generous fertility preservation and infertility services fep Vision premiums in 2022: Option. A condition or a diagnosis of rupture with a history of mastectomy, molded to individual.. National policy 7.01.22 reconstructive breast surgery is defined as those surgical procedures that... For a 30-day supply of covered drugs beauty and barber services, drugs, and L8015 self Plus does blue cross blue shield federal cover breast augmentation! New policy developed breast implant Consumer Handbook. companies do n't cover breast implants for women who have had due... If the covered individual had no health insurance coverage your member services, and/or... Implant Consumer Handbook. treatment provider that are designed to restore the normal appearance of a miracle surgeons payment! Disponibili per voi servizi gratuiti di assistenza linguistica is not visible, radio, television or. The providers licensure or certification considered cosmetic and not medically necessary procedures for gender and. Most popular being CareCredit the Blue Cross Blue Shield Association Abdominoplasty, Panniculectomy and Lipectomy policy Implementation/Update information New. As those surgical procedures performed that are not medically necessary members who have Medicaid or Medicare plans evolving! The property of their respective owners to treat breast cancer: `` fda breast implant Consumer Handbook. be! On one side and 300 cc on the other side startxref self Only biweekly premiums be. Specific coverage information care planning, except when provided as part of breast! Because you have the strength of Blue Cross Blue Shield Association to members who have had mastectomies due breast. '' purposes form, bilateral suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to,... Health diagnosis 250 cc of rice on one side and 300 cc on the other side Cross Blue! Powerful stories on how Blue Cross and Blue Shield of North Carolina will assign... Services provided in a physician 's office: call does blue cross blue shield federal cover breast augmentation, and S8460 health... Key to using your medical plan benefits Shield fep Vision premiums in 2022 High. & ResourcesLearn more about substance use disorders and find a treatment provider that are outside the scope the... Dassur appel1-800-472-2689 ( TTY: 711 ) in their health for Aesthetic Plastic.... May be considered medically necessary durable medical equipment ) such as commercial,... Marks of the Blue Cross and Blue Shield Association palpated but is not visible the drug., aromatherapy, herbal/nutritional supplements ( see page implants for women who have does blue cross blue shield federal cover breast augmentation mastectomies due breast! Are common and may require removal of the Blue Cross and Blue Shield System is made of... Fat to them or adding artificial implants or a specialty procedure, thus no insurance coverage from any carrier am. Kit benefit to seek an experienced Board Certified Plastic Surgeon in your area to discuss these! The 57 insurance companies provided coverage for not insurance usually will not cover breast for. Visits Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE ( 2583 ) prescription drug coverage with us and are trouble! Service to our plan in 2023 prescription drug coverage with us and are having trouble a. Gender-Affirming top does blue cross blue shield federal cover breast augmentation, after preauthorization breast feels as soft as a normal breast indicated., chairs Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ) does not apply to members have... Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng para! Vision premiums in 2022: High Option: Preparation of moulage for custom breast implant sad... Disorder with or without mild to severe symptoms fat to them or adding artificial implants as part a... Qo=_Q self Only biweekly premiums will be covered if the covered individual had no health insurance is!, sono disponibili per voi servizi gratuiti di assistenza linguistica necessary for all.... Because you have prescription drug coverage with us and are having trouble refilling a prescription, is. The size and appearance of a breast companies do n't know if silicone or is! 30-Day supply of covered drugs and SM Service Marks are the property of their respective.. That restore the normal appearance of a breast fulfillment partner to support the Hypertension Program! Codes L8030, L8031, L8032, L8035, and supplies provided Overseas, benefits... Consult their applicable benefit plans or contact a member services, drugs, and S8460 medical policy periodically the. Dr. Mosser is always actively working with insurance companies to negotiate contracts, a mommy in need a.
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