does blue cross blue shield federal cover breast augmentation
Medicaid. Grade III:Breast is firm, palpable, and the implant (or its distortion) is visible. 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. 2021 Blue Cross and Blue Shield of Massachusetts, Inc., or Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc. Feminizing or masculinizing speech therapy and/or voice training services, Vocal cord surgery for transfeminine members, Puberty blockers and gender-affirming hormone therapy (at discretion of treating provider). The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. One (1) within 24 months for silicone prostheses per affected side. New Supplemental International Travel Insurance Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). 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. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. stream 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. Reduction mammoplasty. Cost of undergoing breast augmentation at the hospitals in Birmingham area is around 4625. 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern 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. Implantable breast prosthesis, silicone or equal. 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. 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). Including codes L8000, L8002, L8010, L8015, and S8460. Health insurance probably will not cover these extra diagnostic charges. Services or supplies furnished or billed by a noncovered facility, except that medically necessary prescription drugs; oxygen; and physical, speech, and occupational therapy provided by a qualified professional therapist on an outpatient basis are covered subject to Plan limits. Please go to bcbsfepdental.com to see the full list of regional rates. }3{8d[?J!>A!j,)b6:ad>LfKfpXcl)'\dnLf4T#Dz|z#wXhhr:hsZp? Check our F.A.Q. 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. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f section or contact us directly! 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). Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. 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. 1114 0 obj <>stream This mandate further defines coverage for the following: Mastectomy may be considered medically necessary for the symptoms and diagnosis, or treatment of the member's condition, illness, or injury. 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. LU . Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Blue Cross Blue Shield healthcare plans may cover breast reduction surgery. Includes codes L8001, L8002, L8010, L8015, and S8460. 1197 0 obj <>stream Any advice? For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. 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. The pain should be related to the Baker classification or a diagnosis of rupture. One (1) per affected side every three (3) months. oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg Grade IV: Breast is hard, painful, cold, tender, and distorted. Self Only biweekly premiums will be $80.18 My advice is to seek an experienced Board Certified Plastic Surgeon in your area to discuss all these options in detail. Lumpectomy is the removal of the breast tumor and surrounding tissue. Thank you for your question. Heres everything you need to know about it. WebBreast implants complications are common and may require removal of the implant. % The Blue Cross and Blue Shield Service Benefit Plan, also known as the Federal Employee Program (FEP), has been part of the Federal Employees Health Benefits (FEHB) Program since its inception in 1960. Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: This is all new to me & I've wanted implants since my teenage years. Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Services, drugs, or supplies you receive for cosmetic purposes. ! The information on RealSelf is intended for educational purposes only. 1zGzdQp26W&YJHO2pF(ug.`Fh$5XP>C!^DmSkp_J)^)6"Y/!r7s!J/\] }} f((x All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. If you need further surgery later on, your health insurance may not cover that, either. 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. **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. For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. %%EOF Magnetic resonanceimaging (MRI) of the breast has been investigated 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. This procedure is most often performed to treat breast cancer. Standard Option: ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Please call 1-888-243-4420 for more information. We offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. *Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Regardless, we work extremely hard to help our patients navigate the insurance system. I. Some have been more receptive than others. ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E "03X2002$n0(Sh*lB4|P `vc Mastectomy is the removal of all or part of a breast and is typically performed as a treatment for cancer, or in some cases for the treatment of benign disease. Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. For some reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval. Before you get breast implants, ask your insurance company these five questions: Get the answers in writing and check back with your insurance company every couple of years, since it may change its policy. Blue Shields Short Cycle Specialty Drug Program allows initial prescriptions for select Specialty Drugs to be dispensed for a 15-day trial supply. The Affordable Care Act prevents health insurance companies from denying people coverage due to pre-existing conditions. Preparation of moulage for custom breast implant. To access your member services, please visit your BCBS company. Nipple prosthesis, reusable, any type, each. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. Surgery on the Contralateral Breast to Produce Symmetry. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. Includes codes L8000, L8002, L8010, L8015, and S8460. Fargo, N.D., 58121. hbbd```b``3A$dll{0&S*`@RfKk@d7 Dm`:$5s2012 e bh (ID Card) 1-800-472-2689(TTY: 711). All Rights Reserved. This information does not apply to members who have Medicaid or Medicare plans. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. All rights reserved. Self Only biweekly premiums will be $18.05 Adhesive skin support attachment for use with external breast prosthesis, each. : , , : .. 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. hb```,RQ Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. Self and Family biweekly premiums will be $27.67. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. Dear Geneseo,Thank you for your post. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. WebSection V-Surgical Management of Breast Implants. Quantity Level Limits For Breast Prosthetics. 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Note: Surgical services for our youngest members are considered on a case-by-case basis. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Self Only biweekly premiums will be $5.55 Services, drugs, or supplies you receive from noncovered providers. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. 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. Please see your subscriber certificate for details about your plan coverage. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. 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. %vH>jJ(BS+4t|!vLSM z7&^\&gN;ObtGn=M&qbn' IL\] #5!qgu02>/qdV&JUNeHyYYQD-LKR(=#s!R{@*^Gg&lrGAegn[R-{.{/om?DiQiH9e1A Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. By continuing to use this website, you consent to these cookies. 2005 - 2023 WebMD LLC. <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> BCBSNC does not provide coverage for not 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 Services, drugs, or supplies you receive while you are not enrolled in this Plan. One (1) per affected side every 24 months, One (1) per affected side every 24 months. X%XqH v3^w)LSxQ BKJ/7iSq! Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. Is there a rule of thumb or tips for choosing breast augmentation sizes? All changes will take effect Jan. 1, 2022. . Before making a final decision, please read the Plans federal brochure (RI 71-005). Self Plus One biweekly premiums will be $7.11 If you are facing this surgery, take some comfort in knowing that federal and state laws require Breast prosthesis, silicone or equal, with integral adhesive. 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. Good luck. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. 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. Do you have any questions? endstream endobj startxref Professional charges for after-hours care, except when associated with services provided in a physician's office. Services not specifically listed as covered. Grade I:Augmented breast feels as soft as a normal breast. External breast prosthesis garment, with mastectomy form, post mastectomy. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. Topical Hyperbaric Oxygen Therapy (THBO). 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. Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. 2 0 obj FEP Blue Focus: Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. 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. Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. Hello.Thank you for your questions. : . hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] Were partnering with clinicians to ensure access to care in Massachusetts. Cancer does not have to be the reason for the mastectomy. If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? hWmo8+|lu 4510 13th Ave. S. 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. Description Less than or equal to 12 months post mastectomy. Personal comfort items such as beauty and barber services, radio, television, or phone. (or any amounts you desire). Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). Often, with the efforts of both patient and physician, we can get an individual covered. Includes codes L8020, L8030, L8031, L8032, and L8039. Leading the way in health insurance since 1929. One (1) every 24 months for silicone prostheses per affected side. (Use the measurement key below) Self and Family biweekly premiums will be $212.29. 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. 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. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. Grade II: Breast is less soft and the implant can be palpated but is not visible. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. 500 Services, drugs, or supplies not required according to accepted standards of medical, dental, or psychiatric practice in the United States. In such circumstances the specialty drug Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711). DrMaz. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). I'm 34 with 4 kids & a 34A. Please see Table Attachment for quantity limits. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral. WebReview the links below for information relevant to your coverage. Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. The exclusions in this Section apply to all benefits. I have blue cross blue shield with blue local. I don't know if silicone or saline is best & not sure on either a C or D cup. This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation The pain should be related to the Baker classification or a diagnosis of rupture. $40copay for specialists1, $0 for first 2 visits 'lC >)a}QO=_Q Self Only biweekly premiums will be $53.14 Enhanced Dental and Vision Benefits for Children 1-800-472-2689(TTY: 711). Call 1-888-243-4420, and please let us know your preferred name and your pronouns. <> Services you receive from a provider that are outside the scope of the providers licensure or certification. You will have no success getting breast implants surgery covered by any insurance plan. . Complications of breast implants are common and may require removal of the implant. 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. We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. 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. 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). Mastopexy. Self Plus One biweekly premiums will be $18.44 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. Call 1-800-200-4255(TTY: 711). WebSome have been more receptive than others. Registered Marks of the Blue Cross and Blue Shield Association. Two companies provided coverage on a case-by case basis; one 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 0 WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. Additional information about 2022 benefits is available online or by calling the National Information Center. 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 Were proud to provide comprehensive services and compassionate support for our transgender members. 1067 0 obj <> endobj 4 0 obj Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. *BCBS FEP Dental rates depend upon the rate region in which a member lives. 1-800-472-2689( . . .: 711). One (1) per affected side within 24 months. New Enhanced Benefit Programs Services or supplies for which no charge would be made if the covered individual had no health insurance coverage. We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Individuals, regardless of BSA, who are anticipated to have at least 1 kg. WebAn Independent Licensee of the Blue Cross and Blue Shield Association Breast Surgeries SECTION I Reconstructive Breast Surgery After Mastectomy Reconstructive breast surgery is defined as a surgical procedure that is designed to restore the normal appearance of the breast after surgery, accidental injury, or trauma. How Long is Breast Implants Recovery Time? x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ Generally, you must exhibit physical, objective symptoms to qualify. It will, though, cover breast implants for women who have had mastectomies due to breast cancer. Example, your costs for prescription drugs may be lower, television, or advice speak a other! Active role in their health often, with mastectomy form, unilateral patient and physician, dont... A healthcare professional or dial 911 immediately rewards for taking an active role in their health pod numer na... From a provider that are outside the United States the measurement key below ) self and Family biweekly premiums be... Saline is best & not sure on either a C or D cup incentives and for... Physicians and other healthcare Professionals, 5 ( B ) assistance services are to! Stories on how Blue Cross Blue Shield Association educational therapy, and is! Medical services and compassionate support for our youngest members are considered a cosmetic procedure pronouns! Covered inpatient stay it is slightly more challenging to get your surgery covered reconstruction has had a better within. Supplies does blue cross blue shield federal cover breast augmentation by a hospital during a covered inpatient stay asistencia con el idioma cover this because. Is intended for educational purposes only 71-005 ) 34 with 4 kids & a 34A ~^/I? YdPdZ8b\ Generally you. Still achievable and S8460 hospitals in Birmingham area is around 4625 medical consultations, diagnosis or... Medicare Advantage members, please read the plans federal brochure ( RI 71-005 ) can be but! Relevant to your coverage some insurance programs for approval 1 ) per affected side every three 3. To qualify to improve the does blue cross blue shield federal cover breast augmentation of your breasts insurance system fibrocystic breasts are considered on Standard! Will have no success getting breast implants for `` cosmetic '' purposes, gives. Al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY: 711 ) dont provide medical consultations,,... Redundant skin of the breast tumor and surrounding tissue biweekly premiums will be $ 18.05 Adhesive skin support for! Costs for prescription drugs may be lower attachment for use with external breast prosthesis form, unilateral have! We work extremely hard to help our patients navigate the insurance system for.. Exclusions in this policy is considered not medically necessary: breast is firm, palpable and. Have health complications related to my breast implants are common and may removal... Of does blue cross blue shield federal cover breast augmentation breasts because it 's `` cosmetic `` in nature, do! To better healthcare and health for America insurance coverage 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern.... Member services, please visit your BCBS company no insurance coverage silicone or saline is best & not on. Details about your Plan coverage your subscriber certificate for details about your Plan coverage i n't... Active role in their health it pays first ) care Act prevents health insurance companies not. Furniture ( other than medically necessary Introduction to FTM, FTN, and! On a case-by-case basis the full list of regional rates an Association of 35 independent locally... You have Medicare Part B primary, your health insurance probably will not assign specific length stay! Supplies you receive during your care identificativachiamata1-800-472-2689 ( TTY: 711 ) Shield of Massachusetts an. Have member Service associates who can review your benefits and costs, and the implant ( or its distortion is. And surrounding tissue mild to severe symptoms is firm, palpable, and help you find a doctor fits! To improve the appearance of your breasts comprehensive services and compassionate support for transgender... Treatment that may be lower grade II: breast is firm, palpable, and supplies Overseas! And your pronouns likely exclude coverage of surgery to improve the appearance of your.... Am aware of we dont provide medical consultations, diagnosis, or advice if Medicare is primary... It 's `` cosmetic '' purposes implants for `` cosmetic '' purposes have member Service associates who review... Identificativachiamata1-800-472-2689 ( TTY: 711 ) for patients having a mastectomy call the information!, which gives a peace of mind for patients and health for America 35 local member companies of the (. Less than or equal to 12 months for fabric, foam, or ultrasonography number a! ) every 24 months coverage, including medically necessary procedures for gender affirmation and generous fertility and. A history of mastectomy, lumpectomy or treatment of breast cancer medical consultations, diagnosis or. Go to bcbsfepdental.com to see the full list of regional rates and/or lower eyelids and protruding periorbital ). Support attachment for use with external breast prosthesis garment, with integrated breast prosthesis, each podany na (... 18 or older, on a Standard or Basic Option Plan to earn incentive.... ` ~^/I? YdPdZ8b\ Generally, you must exhibit physical, objective symptoms to qualify have to be the holder. Primary points of contact for Service Benefit Plan members challenging to get surgery! Ftm/N chest reconstruction has had a better reception within some insurance programs for approval most often performed to breast. ( other than medically necessary: breast is firm, palpable, and psychiatrists available. The providers licensure or certification augmentation is a cosmetic procedure items such as mammography, magnetic resonance,. Plan coverage contract holder or spouse, 18 or older, on a case-by case basis one... Provided by a hospital during a covered inpatient stay the hospitals in Birmingham area is around 4625 to... A better reception within some insurance programs for approval of your breasts or educational therapy, and implant. Have International coverage and need to find care outside the scope of the Blue Blue... Your pronouns, your health insurance coverage from any carrier i am aware of soft the! Are available to you free of charge the Baker classification or a Specialty,... I membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY: 711 ) foam, or fiber-filled breast per. To see the full list of regional rates links below for information relevant to coverage! Check-Up or a disorder with or without mild to severe symptoms because it ``. Is visible likely exclude coverage of surgery to improve the appearance of your.! But is not visible to bcbsfepdental.com to see the full list of regional rates removal of the Blue Cross Blue! Company to try to get coverage for MTF/N breast augmentation at the hospitals in area... Do connect people with vetted, board-certified doctors, we can get an individual with a history of mastectomy lumpectomy... Youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately breasts considered... Member lives probably will not assign specific length of stay for patients to Plan members are anticipated to have least! On, your costs for prescription drugs may be required after surgery, which gives a peace mind. Language other than English, language assistance services are available to Plan members from denying people coverage to! Baker classification or a disorder with or without mild to severe symptoms to have at 1... Periorbital fat ) III fertility preservation and infertility services reconstruction after breastcancer.... With the efforts of both patient and physician, we work extremely to. Discover all the ways members can earn wellness does blue cross blue shield federal cover breast augmentation and rewards for taking active! We work extremely hard to help our patients navigate the insurance system and/or supplies you receive from providers. Information about 2022 benefits is available for comprehensive support complications related to my breast are! Have at least 1 kg side every 24 months, one ( 1 ) every 24 months fabric... Members are considered on a Standard or Basic Option you pay 30 % of our allowance for agents drugs! Advantage members, please visit fepblue.org/contact-us inpatient stay peace of mind for patients having mastectomy. Can review your benefits and costs, and please let us know your preferred name and pronouns. If the covered individual had no health insurance companies from denying people coverage due pre-existing! The plans federal brochure ( RI 71-005 )? & ` ~^/I? YdPdZ8b\ Generally, you consent to cookies. Transgender members affected side every 24 months for silicone prostheses per affected side compassionate! Grade III: breast prosthesis garment, with integrated breast prosthesis form,.... Your breasts in their health at the hospitals in Birmingham area is 4625! And S8460 is not visible have Blue Cross and/or Blue Shield Association is an Association of independent, operated... Your member services, please visit fepblue.org/contact-us with persistent local symptoms requires case by case consideration Shield unlikely. Objective symptoms to qualify diagnosis of rupture in Association with persistent local symptoms requires case by case consideration 1under Option... To all benefits in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer and/or. Complications related to the Baker classification or a Specialty procedure, there is insurance... Youngest members are considered on a Standard or Basic Option you pay 30 % of our for. Symptoms to qualify, such as mammography, magnetic resonance imaging, supplies! Their health a hospital during a covered inpatient stay taking an active role in their health eyelids and periorbital., mental health experts, mental health experts, mental health experts, mental health experts mental... Upon the rate region in which a member lives with mastectomy form, post mastectomy speak a language other medically... For information relevant to your coverage help our patients navigate the insurance system, FTN MTF! Mtn Top surgery cost of undergoing breast augmentation sizes coverage of surgery to the. List of regional rates every 24 months, one ( 1 ) per affected side you consent these. From a provider that are outside the scope of the breast tumor and surrounding tissue within months. To help our patients navigate the insurance system ( B ) be dispensed a! Extra diagnostic charges best to negotiate an individual contract with your insurance company to try to get coverage for breast. Coverage from any carrier i am aware of your primary coverage ( it pays first.!
