Apr 06 2011

FAQ: Will insurance cover my breast reduction? Bethesda Plastic Surgeon Answers

 

Since Dr. Roger J. Oldham began caring for patients through plastic surgery procedures more than 25 years ago, advancements in surgical techniques have progressed quickly.  Also progressive have been attitudes about the benefits of plastic surgery, especially the health benefits of a procedure like Breast reduction surgery which helps patients with large breasts seek more a proportional and comfortable breast size.  Some health insurance companies have even approved the surgery as medically necessary, but, as Dr. Oldham often advises patients, this is a difficult claim to get accepted by HMOs.

 As Dr. Oldham’s experience shows, there are a number of instances where health insurance companies have included breast reduction surgery in a patient’s coverage plan. This, however, is the exception, not the rule.  It’s difficult to generalize, because each plan is individualized and can cover or deny coverage for two different patients even under the same parent company.  But, generally, research is your best bet.  Contact your health insurance provider to inquire their rate of approval for breast reduction surgery.  Then ask about the documentation they prefer to see accompany the claim for coverage.  Often this includes previous treatments of back pain related to the breast size.  But, in this context, knowledge really is power and knowing more about how your HMO works will help your chances of getting the breast reduction procedure covered.

Before you come see Dr. Oldham  during your consultation, be sure to look at these pictures of patients before and after breast reduction surgery with Dr. Oldham.  Their dramatic results are inspiring.

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Roger J. Oldham, M.D

Phone: (301) 530-6100
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