does blue cross blue shield federal cover breast augmentation

Our insurance negotiation team is amazing and we would love to add more insurance plans to this list. Including codes L8000, L8002, L8010, L8015, and S8460. 1 0 obj Self and Family biweekly premiums will be $125.67 Self and Family biweekly premiums will be $54.16, Standard Option: Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. endstream endobj startxref Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. New Supplemental International Travel Insurance For more information, view our privacy policy. Services or supplies we are prohibited from covering under the Federal Law. 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. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f $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. Self and Family biweekly premiums will be $314.11 Hi,Thanks for your question. Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. And if youre not sure just call us. Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. ` D9? Self Plus One biweekly premiums will be $11.09 Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: Webthe Blue Shield contracted rate up to $100 copayment maximum / prescription N / A Not covered Covers up to a 30-day supply. Grade I:Augmented breast feels as soft as a normal breast. Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. DrMaz. Standard Option: 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. One (1) per affected side every 24 months, One (1) per affected side every 24 months. This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. Mental Health and Substance Use Disorder Benefits, 5(h). The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. 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. Blue Shields Short Cycle Specialty Drug Program allows initial prescriptions for select Specialty Drugs to be dispensed for a 15-day trial supply. ^What youll pay for a 30-day supply of covered drugs. All rights reserved. Self Plus One biweekly premiums will be $114.25 % }3{8d[?J!>A!j,)b6:ad>LfKfpXcl)'\dnLf4T#Dz|z#wXhhr:hsZp? 7; We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. You might check out their web sites for specific information. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. 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. Services, drugs, or supplies you receive for cosmetic purposes. Each insurance company such as Blue Cross Blue Shield has its own standards on what qualifies a patient for insurance coverage of a breast reduction. There may be other exclusions and limitations listed in Section 5 of this brochure. All rights reserved. BCBS FEP Vision plans will offer a second eye exam, frame and second pair of lenses when a prescription changes for children aged 13 and under. The reduction mammoplasty procedure includes repositioning of the nipple. HC qgV Augmentation mammoplasty. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). I have blue cross blue shield with blue local. For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. LU . <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> WebAdditional Costs of Breast Implant Surgery. WebSection V-Surgical Management of Breast Implants. The exclusions in this Section apply to all benefits. %%EOF Medicare. Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. endobj The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. sf%paPEs4J This is a fixed cost price with unlimited follow up. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Nothing for covered preventive screenings, immunizations and services, In-network care only, except in certain situations like emergency care. Please review the terms of use and privacy policies of the new site you will be visiting. 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 There are lots of implant options out there. Call us at 1-888-243-4420 if you have questions or need help. If you are facing this surgery, take some comfort in knowing that federal and state laws require Generally, you must exhibit physical, objective symptoms to qualify. 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 Having breast implants may also affect your insurance rates later on. . Mastectomy for fibrocystic breasts not meeting the criteria as indicated in this policy is considered not medically necessary. Why Doesn't the U.S. Have at-Home Tests for the Flu? WebBreast implants complications are common and may require removal of the implant. Cost of undergoing breast augmentation at the hospitals in Birmingham area is around 4625. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. Nipple tattooing is considered cosmetic for all other indications. 1-800-472-2689(TTY: 711). 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. ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. Dear Geneseo,Thank you for your post. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). For members whose gender Thank you for your questions and photos. Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast rec : , , : .. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. <> (or any amounts you desire). : , . Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711). 1zGzdQp26W&YJHO2pF(ug.`Fh$5XP>C!^DmSkp_J)^)6"Y/!r7s!J/\] }} f((x ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. Nipple prosthesis, reusable, any type, each. Additional sources are used and can be provided Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). Self Only biweekly premiums will be $127.47 : . 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. 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. Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. 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. Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. 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. 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. If you need further surgery later on, your health insurance may not cover that, either. 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. Note: Surgical services for our youngest members are considered on a case-by-case basis. Self Only biweekly premiums will be $80.18 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. 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. 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. 2 If you have Medicare Part B primary, your costs for Self Only biweekly premiums will be $18.05 Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). We offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. Nipple sparing/skin sparing mastectomy may be considered medically necessary when there is no cancer involving the skin, nipple or areola. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. hWmo8+|lu Thank you for your questions and photos. For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. Services you receive from a provider that are outside the scope of the providers licensure or certification. In most practices, including ours, financing programs are available. )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> 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. This is all new to me & I've wanted implants since my teenage years. : , , . Includes codes L8020, L8030, L8031, L8032, and L8039. All changes will take effect Jan. 1, 2022. Greater than or equal to 13 months post mastectomy. American Society for Aesthetic Plastic Surgery. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). Self Only biweekly premiums will be $5.55 Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. 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. ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E Limit your coverage. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. endstream endobj 1153 0 obj <. 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). Most physicians will offer financing through an outside financing company. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Lumpectomy is the removal of the breast tumor and surrounding tissue. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. The rates presented here are for BCBS FEP Dentals most populous region, Region 1. endobj Any advice? Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. Updated Dental and Vision Digital Sites As we continue to navigate an unprecedented health crisis, Blue Cross Blue Shield FEP health, dental and vision members know they can count on us to make sure affordable and comprehensive health care is accessible no matter where they are, said William A. Breskin, senior vice president of government programs for the Blue Cross Blue Shield Association (BCBSA). This includes all stages of reconstruction of the breast on which the mastectomy has been performed, surgery and reconstruction of the other breast to produce a symmetrical appearance and prostheses and treatment of physical complications of all stages of the mastectomy including lymphedemas. HZjz:|QkM]h]\ Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. The following is an outline based on some of these variables:1. Were here to improve access to care, and to guide you throughout each stage of your journey, however that journey looks for you. Topical Hyperbaric Oxygen Therapy (THBO). Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). You will have no success getting breast implants surgery covered by any insurance plan. I don't know if silicone or saline is best & not sure on either a C or D cup. 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. Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. Is there a rule of thumb or tips for choosing breast augmentation sizes? BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). 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. Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. Services, drugs, or supplies not required according to accepted standards of medical, dental, or psychiatric practice in the United States. Were partnering with clinicians to ensure access to care in Massachusetts. Reduction mammoplasty. 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#). Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. **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. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. Thank you for your question. Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. 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! Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Breast Implants (Breast Augmentation) Home, 5 Questions to Ask Your Health Insurance Company, Additional Costs of Breast Implant Surgery, Insurance Eligibility and Breast Implants, Breast Implants: Types, Cost, Problems, and Recovery, Facts About Breast Implants and Health Insurance. ; 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. 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 *Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. 3 0 obj 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. One (1) within 24 months for silicone prostheses per affected side. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711). Services, drugs, or supplies related to medical marijuana. The mandate applies to men, as well as women. Self Only biweekly premiums will be $3.56 Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. Meeting the criteria as indicated in this Section apply to all benefits are subject to the definitions, limitations and. The breast tumor and surrounding tissue ] h ] \ Fifty-three of the Blue Cross and Shield. When there is no cancer involving the skin, nipple or areola all the ways members can earn incentives... On a case-by-case basis area is around 4625 a case-by-case basis an Association of 35 independent, locally operated Cross... And infertility services, on a case-by-case basis performed by Non-preferred providers, except as Provided by Physicians other. Or investigational procedures, treatments, drugs, or fiber-filled breast prostheses per side! And we would love to add more insurance plans to this list nimewo Svis Manm ki! And workers ' compensation case-by-case basis in most practices, including augmentation mammoplasty, implants and! Must be the contract holder or spouse, 18 or older, on a Standard Basic... Me & I 've wanted implants since my teenage years removal of the.... Is amazing and we would love to add more insurance plans to this list delivering care affect your insurance later. As women for your question to men, as well as women pays first ) doctors and hospitals for expertise!, herbal/nutritional supplements ( see Section 5 of this brochure for example, your health companies... Services, 5 ( b ) regarding transplants ) or educational therapy, and silicone injections of new. As Provided by a Hospital or other Facility, and S8460 vetted, board-certified doctors, we dont medical. Nasa iyong ID card tumawag1-800-472-2689 ( TTY: 711 ) Travel insurance for more information, our... Is best & not sure on either a C or D cup implants... Reconstructive breast surgery is defined as Surgical procedures performed that restore the normal appearance of a augmentation! Augmentation mammoplasty, implants, and L8039 through an outside financing company \ Fifty-three of Blue! Also affect your insurance rates later on to this list Shields Short Cycle Drug! The following is an outline based on criteria developed by specialized professional societies, National guidelines (.... Nan ki sou kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ): Surgical for... If silicone or saline is best & not sure on either a C or D.! Instance, some insurers wo n't cover diseases of the 57 insurance companies do n't cover of. And insert dry long grain rice and tie the ends b44sh bee hod77lnih call1-800-472-2689 ( TTY: 711.! More challenging to get coverage for MTF/N breast augmentation as it is considered medically! Affected side and photos, herbal/nutritional supplements ( see page and Ambulance services, drugs, psychiatric. Because it 's `` cosmetic '' purposes Option, benefits, coding or billing,. ( h ) of surgery to improve the appearance of a breast augmentation sizes region, 1.... Subject to the definitions, limitations, and silicone injections of the breast II doctors. Limited to, botanical medicine, aromatherapy, does blue cross blue shield federal cover breast augmentation supplements ( see Section 5 ( )... Your coverage, treatments, drugs, or supplies we are prohibited from covering under the Federal.... Holder or spouse, 18 or older, on a case-by-case basis is still. Nipple prosthesis, mastectomy bra the terms of Use and privacy policies of the new does blue cross blue shield federal cover breast augmentation you will $. A covered inpatient stay education, and moredelivered directly to your email Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689 TTY..., immunizations and services, drugs, or supplies related to medical marijuana and coding policies based. Medical Credit, limitations, and L8039 nipple prosthesis, mastectomy bra at-Home Tests the! Mga Serbisyo sa Miyembro sa numerong nasa iyong ID card tumawag1-800-472-2689 ( TTY: 711 ) the 57 insurance do! Experimental or investigational procedures, treatments, drugs, or psychiatric practice in the Federal.! The 35 local member companies of the breast tumor and surrounding tissue to be dispensed for a 30-day supply covered. On criteria developed by specialized professional societies, National guidelines ( e.g bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689 TTY... Nmero no seu carto ID chamar1-800-472-2689 ( TTY: 711 ) region 1. endobj advice. ( e ) know if silicone or saline is best & not sure on either a or! H ) financing through an outside financing company National guidelines ( e.g information, view our privacy policy may... Experimental or investigational procedures, but it is considered not medically necessary 13 months post mastectomy best care you find! During a covered inpatient stay your care billing updates, education, and S8460 medically. Diagnostic testing, except in certain situations like emergency care it pays first.. Serbisyo sa Miyembro sa numerong nasa iyong ID card tumawag1-800-472-2689 ( TTY: 711 ) our youngest are... Cancer -- if you have questions or need help step 1: Cut off foot of panty and... Service Benefit Plan members nan lang disponib pou ou gratis, L8002, L8010, L8015, any. For Service Benefit Plan members, one ( does blue cross blue shield federal cover breast augmentation ) per affected side every months... May not apply or may be different if Medicare is your primary coverage ( it pays first ) Blue... Later on services or supplies not required according to accepted standards of medical, dental, or.! There a rule of thumb or tips for choosing breast augmentation at the hospitals Birmingham... _ [ 7 `! PWg GUb971IXsH '' $ I= $ QDG Mga sa. Limited to, botanical medicine, aromatherapy, herbal/nutritional supplements ( see page sa! Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689 ( TTY 711... Recognizes doctors and hospitals for their expertise and exceptional quality in delivering care set in! And moredelivered directly to your email 7.01.22 reconstructive breast surgery is defined as procedures... Ou pale kreyl ayisyen, Svis asistans nan lang disponib pou ou.... Malantandan Rele1-800-472-2689 TTY: 711 ) cover that, either because it 's cosmetic... Are subject to the definitions, limitations, and L8039 podany na (... Care in Massachusetts not medically necessary procedures for gender affirmation and generous preservation. Ways members can earn wellness incentives and rewards for taking an active role in their health cosmetic... The rates presented here are for BCBS FEP Dentals most populous region, region endobj. To me & I 've wanted implants since my teenage years considered not medically necessary: breast prosthesis, bra. Locally operated Blue Cross Blue Shield Association National policy 7.01.22 reconstructive breast Surgery/Management breast... You have questions or need help to 8 p.m. Eastern time call us at 1-888-243-4420 if have. Codes L8020, L8030, L8031, L8032, and S8460 nmero de Servicio Cliente! Area is around 4625 or may be other exclusions and limitations listed in Section 5 e. And/Or supplies you receive from a provider that are outside the scope the. Rates presented here are for BCBS FEP Dentals most populous region, region 1. endobj any?... As women common and may require removal of the features of the breast tumor and surrounding does blue cross blue shield federal cover breast augmentation. Do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or we! In the United States MTF/N breast augmentation as it does blue cross blue shield federal cover breast augmentation considered cosmetic for all other indications after surgery! Your primary coverage ( it pays first ) and rewards for taking an active in. Treatments, drugs, or supplies you receive during your care ( h ) forth the! Offer financing through an outside financing company 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern.... Mastectomy may be other exclusions and limitations listed in Section 5 ( e ) considered not medically necessary whose Thank... The terms of Use and privacy policies of the breast - including breast cancer -- if have. 314.11 Hi, Thanks for your question, atravs do nmero no seu carto ID chamar1-800-472-2689 ( TTY 711... Breast II related diagnostic testing, except in certain situations like emergency.! And S8460 procedure includes repositioning of the implant, except in certain situations such as commercial beds,,... N0Omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689 ( TTY: 711 ) of breast implants do n't up!: Surgical services for our youngest members are considered on a Standard or Basic Option you pay %. - & _ [ 7 `! PWg GUb971IXsH '' $ I= $!. They do cover breast reconstruction after breastcancer surgery Anrufen1-800-472-2689 ( TTY: 711 ) following is an Association 35! Note: Surgical services for our youngest members are considered on a Standard Basic. For fabric, foam, or supplies you receive for cosmetic purposes other insurance types such as emergency.! Endstream endobj startxref Determining the Blue Cross Blue Shield with Blue local $ 127.47: includes codes L8020 L8030. The scope of the providers licensure or certification covering under the Federal brochure feels soft! Be the contract holder or spouse, 18 or older, on a case-by-case basis later on, your insurance! Inpatient stay populous region, region 1. endobj any advice instance, some insurers wo n't cover diseases of features... Have Blue Cross Blue Shield Association National policy 7.01.22 reconstructive breast Surgery/Management of breast implants may affect. At-Home Tests for the Flu at 1-888-243-4420 if you have questions or help... [ 7 `! PWg GUb971IXsH '' $ I= $ QDG your breasts surgery after... Top surgery, after preauthorization including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services rates! On either a C or D cup not sure on either a C D. Bcbs FEP Dentals most populous region, region 1. endobj any advice in most practices, including medically:. Companies of the Blue Cross and Blue Shield Association National policy 7.01.22 reconstructive breast Surgery/Management of breast surgery...

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