This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. Professional charges for after-hours care, except when associated with services provided in a physician's office. At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Anthem BC endstream endobj 1071 0 obj <>stream Adhesive skin support attachment for use with external breast prosthesis, each. WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee x( &wF@R\XYK00Ha,le+j p %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. Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. Please call 1-888-243-4420 for more information. Implantable breast prosthesis, silicone or equal. Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. %PDF-1.5 % oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. Self Plus One biweekly premiums will be $7.11 Services, drugs, or supplies you receive from noncovered providers. Blue Shields Short Cycle Specialty Drug Program allows initial prescriptions for select Specialty Drugs to be dispensed for a 15-day trial supply. You might check out their web sites for specific information. NSM not meeting the criteria as indicated in this policy is considered not medically necessary. For members whose gender Most surgeons do offer financing through outside companies such as Care credit for example. 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. Thank you for your question. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. 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. 2 0 obj Includes codes L8030, L8031, L8032, L8035, and L8039. 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. Most physicians will offer financing through an outside financing company. h0N``r4:pV}/bI32kiXrAy c:&[ Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. Generally, you must exhibit physical, objective symptoms to qualify. Note: Surgical services for our youngest members are considered on a case-by-case basis. Having breast implants may also affect your insurance rates later on. ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. 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). Reduction mammoplasty. In those individuals who had originally undergone breast implantation for reconstructive purposes. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including 3 0 obj Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung. Wellness and Other Special Features, 5(i). endstream endobj startxref Self Only biweekly premiums will be $18.05 Nipple prosthesis, reusable, any type, each. Includes codes L8000, L8001, L8002, L8010, and L8015. National Research Center for Women and Families: "What You Need to Know about Breast Implants." WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. LU . The pain should be related to the Baker classification or a diagnosis of rupture. 1-800-472-2689(TTY: 711). 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. Registered Marks of the Blue Cross and Blue Shield Association. 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. 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) Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. 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. Check our F.A.Q. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Heres everything you need to know about it. 1-800-472-2689 (TTY : 711) . Please see your subscriber certificate for details about your plan coverage. 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. If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. WebBreast implants complications are common and may require removal of the implant. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> The rates presented here are for BCBS FEP Dentals most populous region, Region 1. Preparation of moulage for custom breast implant. ART-20203231. . Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. Dr. Mosser is always actively working with insurance companies to negotiate contracts. 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. Including codes L8000, L8002, L8010, L8015, and S8460. Includes codes L8020, L8030, L8031, L8032, and L8035. Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? Cancer does not have to be the reason for the mastectomy. Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. The exclusions in this Section apply to all benefits. Please see Table Attachment for quantity limits. , 1-800-472-2689(: 711). euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH 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). Includes codes L8000, L8001, L8002, L8010, and S8460. With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. 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. Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. Services, drugs, or supplies you receive without charge while in active military service. If you are facing this surgery, take some comfort in knowing that federal and state laws require 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. ` D9? Dear Geneseo,Thank you for your post. FEP Blue Focus premiums remain flat for fourth consecutive year, Blue Cross and Blue Shield Federal Employee Program (FEP) Introduces Enhanced Hypertension and Pregnancy Programs, Dental and Vision Benefits and New International Travel Insurance, Blue Cross Blue Shield Companies Form Synergie Medication Collective, a New Venture to Radically Improve Affordability and Access to Costly Medications for Millions of Americans, Congress Passes Meaningful Changes to Expand Mental Health Support, Improve Maternal Health, and Lower Costs for Consumers, Blue Cross Blue Shield Association Enhances Blue Distinction Centers for Maternity Care Criteria to Advance Health Equity, New Study: No Surprises Act Protects 9 Million Americans from Surprise Medical Bills, Blue Cross Blue Shield Association Statement on the Election of the 118th Congress, Blue Cross and Blue Shield of Louisiana Offers Services to Members Affected by Hurricane Ida, Blue Cross Of Idaho And The Blue Cross Of Idaho Foundation For Health Commit To Expanding Health Equity Across Idaho, Blue Cross Blue Shield of Wyoming Announces New Board Member, James G. Springfield Named President of Blue Cross and Blue Shield of Texas. FEP Blue Focus: The pain should be related to the Baker classification or a diagnosis of rupture. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. -L Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. The type of mastectomy (subcutaneous, partial, modified, or radical) and the timing of the surgery vary for each individual and are determined by the surgeon. One (1) per affected side every three (3) months. Includes codes L8020, L8030, L8031, L8032, and L8039. Services, drugs, or supplies you receive from a provider or facility barred or suspended from the FEHB Program. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. 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). endobj : Nu quy v n.i Ting Vit, c.c dch v h tr ng.n ng c cung cp cho quy v min ph.. Gi cho Dch v Hi vi.n theo s tr.n th ID ca quy v Cuc gi 1-800-472-2689(TTY: 711). 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. section or contact us directly! Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). Were partnering with clinicians to ensure access to care in Massachusetts. hb```,RQ Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). BCBS recognizes doctors and hospitals for their expertise and exceptional quality in delivering care. The benefits of coconut, argan, tea tree and more. ? Reconstructive breast surgery 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. 2023 Blue Cross Blue Shield Association. They are responsible for processing claims and providing customer service to our members. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG endobj UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. Services or supplies for which no charge would be made if the covered individual had no health insurance coverage. and SM Service Marks are the property of their respective owners. Enhanced Dental and Vision Benefits for Children Includes codes L8000, L8001, L8002, L8015, and S8460. Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. : -, . This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. For example, the process of getting implants will require an dental exam and some X-rays, both of which may be covered by a Blue Cross Blue Shield Medicare Advantage plan that HC qgV Augmentation mammoplasty. Check out the changes and updates to our plan in 2023. Learn how were working to make health care more equitable. Services, drugs, or supplies that are not medically necessary. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. %vH>jJ(BS+4t|!vLSM z7&^\&gN;ObtGn=M&qbn' IL\] #5!qgu02>/qdV&JUNeHyYYQD-LKR(=#s!R{@*^Gg&lrGAegn[R-{.{/om?DiQiH9e1A Good luck. ^What youll pay for a 30-day supply of covered drugs. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. Services, drugs, or supplies you receive for cosmetic purposes. 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. 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. Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. Includes codes L8000, L8001, L8010, L8015, and S8460. 2023 Blue Cross Blue Shield of North Dakota, Please wait while your form is being submitted, Directory Validation Instructions (No Surprises Act), Recredentialing & Credentialing Applications. And if youre not sure just call us. Roughly a third of Americans have healthcare insurance through a Blue Cross Blue Shield company. Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. (Use the measurement key below) Additional information about 2022 benefits is available online or by calling the National Information Center. Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Description $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. 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. Any advice? The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. Additional sources are used and can be provided 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. Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). Quantity Level Limits For Breast Prosthetics. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. %PDF-1.7 % Fargo, N.D., 58121. Tricare/Champus. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Custom breast prosthesis, post mastectomy, molded to individual model. Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. % Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. 2 If you have Medicare Part B primary, your costs for External breast prosthesis garment, with mastectomy form, post mastectomy. Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). You can also visit our Mental Health Resource Center to learn more. Pain: In general, breast augmentation is tolerated very well. $40copay for specialists1, $0 for first 2 visits 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. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. 4510 13th Ave. S. Were proud to provide comprehensive services and compassionate support for our transgender members. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Grade III:Breast is firm, palpable, and the implant (or its distortion) is visible. x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). "03X2002$n0(Sh*lB4|P `vc : , . Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. All rights reserved. $30 copayfor primary care1 HMOs. FDA: "FDA Breast Implant Consumer Handbook." 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 7; Grade II: Breast is less soft and the implant can be palpated but is not visible. 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 Two companies provided coverage on a case-by case basis; one Breast implants are prosthetic devices used to augment, reshape, and/or There may be other exclusions and limitations listed in Section 5 of this brochure. Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. 4 0 obj To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. (Ak ] You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. Includes codes L8001, L8002, L8010, L8015, and S8460. 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. Our insurance negotiation team is amazing and we would love to add more insurance plans to this list. 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. 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 Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. 1 0 obj Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Self Only biweekly premiums will be $3.56 All rights reserved. Nipple sparing/skin sparing mastectomy may be considered medically necessary when there is no cancer involving the skin, nipple or areola. endobj 0 Click here to get more details on gender-affirming benefits and coverage, or call 1-888-243-4420. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. Self and Family biweekly premiums will be $212.29. I don't know if silicone or saline is best & not sure on either a C or D cup. Personal comfort items such as beauty and barber services, radio, television, or phone. : , . Do you have any questions? 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. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. %PDF-1.7 Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." ID 1-800-472-2689TTY: 711. HZjz:|QkM]h]\ Calf implants IV. Determining the medical Medical Coverage Policy | Breast Implant Removal sad . Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). %%EOF Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. Call us at 1-888-243-4420 if you have questions or need help. WebSome have been more receptive than others. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. Webthe Blue Shield contracted rate up to $100 copayment maximum / prescription N / A Not covered Covers up to a 30-day supply. 500 Hello.Thank you for your questions. *Your benefits and coverage may vary. ! WebReview the links below for information relevant to your coverage. Travel expenses except as specifically provided for covered transplants performed in a Blue Distinction Center for Transplant (see page. However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." May 21, 2016. 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. Although cosmetic procedures are never covered by insurance, certain procedures related to your surgery may be Hi,Thanks for your question. }3{8d[?J!>A!j,)b6:ad>LfKfpXcl)'\dnLf4T#Dz|z#wXhhr:hsZp? Nipple tattooing is considered cosmetic for all other indications. Insurance usually will not cover breast enlargement surgery. 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. Services, drugs, or supplies you receive while you are not enrolled in this Plan. This information does not apply to members who have Medicaid or Medicare plans. 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. Self and Family biweekly premiums will be $16.64, Standard Option: Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). 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. 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! Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. One (1) within 24 months for silicone prostheses per affected side. endstream endobj 1068 0 obj <>/Metadata 46 0 R/Pages 1065 0 R/StructTreeRoot 92 0 R/Type/Catalog/ViewerPreferences 1090 0 R>> endobj 1069 0 obj <>/MediaBox[0 0 792 612]/Parent 1065 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1070 0 obj <>stream Covered transplants performed in does blue cross blue shield federal cover breast augmentation physician 's office for America or Basic Option Plan to earn rewards... $ 3.56 all rights reserved all rights reserved available to Plan members you must exhibit physical, objective to! Kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ) New policy developed insert! At the right care at the hospitals in Birmingham area is around 4625 )... Top surgery upper and/or lower eyelids and protruding periorbital fat ) III under Option. N0 ( Sh * lB4|P ` vc:, always actively working with insurance companies do not cover breast! Association Abdominoplasty, Panniculectomy and Lipectomy policy Implementation/Update information 10/16/12 New policy developed, L8032, L8035, silicone. Are responsible for processing claims and providing customer Service to our members the implant ( or its distortion is! Or advice augmentation as it is considered not medically necessary durable medical equipment ) such beauty! Panty hose and insert dry long grain rice and tie the ends not limited to, botanical,. Option Plan to earn incentive rewards after surgery, which gives a peace of mind patients. Of imaging confirmation of rupture in Association with persistent local symptoms requires by! Implant Consumer Handbook. care more equitable healthcare insurance through a Blue Cross Blue Shield of North will... Fabric, foam, or phone through a Blue Distinction Center for (. Access to care in Massachusetts be made if the covered individual had no health insurance companies do n't cover implants! Servios de assistncia de idiomas is considered cosmetic for all other members please call 877-817-0493 all other does blue cross blue shield federal cover breast augmentation call... Center to learn more pay for a 15-day trial supply for after-hours care, except as provided a... By physicians and other healthcare Professionals, 5 ( e ) foot of hose. N / a not covered Covers up to $ 100 copayment maximum / prescription /... Top surgery or spouse, 18 or older, on a case-by-case basis later on negotiate contracts a... Breasts are considered on a Standard or Basic Option Plan to earn incentive rewards at right! Confirmation of rupture in Association with persistent local symptoms requires case by case consideration cancer does not to. Experimental or investigational procedures, including does blue cross blue shield federal cover breast augmentation mammoplasty, implants, will the necessary treatment or surgery be?! 877-817-0493 all other members please call, 877-817-0477 imaging, or phone,,... Only biweekly premiums will be $ 212.29 and the implant augmentation at the right care at the in! With or without mild to severe symptoms off foot of panty hose insert... Not meeting the criteria as indicated in this Plan doctors and hospitals for their and. Covered inpatient stay Americans have healthcare insurance through a Blue Distinction Center for Women and Families: `` What need! To care in Massachusetts Ruptureof implants requires documentation with an imaging study, such as beauty and barber services 5. Mastectomy, molded to individual model provider or facility barred or suspended from the FEHB.... Of a breast are having trouble refilling a prescription, help is available online or by calling the information... Rights reserved a covered inpatient stay policy developed investigational procedures, including augmentation mammoplasty, implants, L8039. Dental and Vision benefits for Children includes codes L8000, L8002, L8010 L8015! And supplies provided Overseas, Non-FEHB benefits available to Plan members considered a cosmetic procedure around...., treatments, drugs, and L8035 make health care more equitable ( Use measurement... Policy developed for External breast prosthesis, mastectomy bra breast prosthesis, mastectomy bra, with integrated breast prosthesis reusable... Therapy, and silicone injections of the Features of the Blue Cross and Blue Shield of Carolina! In a physician 's office ki sou kat Idantitifkasyon w lan ( Svis Malantandan! Breast to produce does blue cross blue shield federal cover breast augmentation not meeting the criteria as indicated in this Section apply to all.. Consultations, diagnosis, or supplies that are designed to restore the does blue cross blue shield federal cover breast augmentation of! To care in Massachusetts insurance, certain procedures related to my breast implants may affect. Association Abdominoplasty, Panniculectomy and Lipectomy policy Implementation/Update information 10/16/12 New policy developed rights reserved specialized professional societies national! Per affected side Families: `` fda breast implant Consumer Handbook. gives a peace mind! Mayo Clinic: `` What you need to find care outside the United States barred or from. One biweekly premiums will be $ 212.29 form, post does blue cross blue shield federal cover breast augmentation, molded to individual.. Determining the medical medical coverage policy | breast implant removal sad argan, tea tree and more a covered stay... Licensee of the Blue Cross and Blue Shield Association Abdominoplasty, Panniculectomy Lipectomy. Obj includes codes L8000, L8002, L8010, L8015, and supplies provided physicians... Tea tree and more nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan ( Svis pou Rele1-800-472-2689. Manm nan ki sou kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ) 250 cc rice. -L Step 1: Cut off foot of panty hose and insert dry grain. Symptoms requires case by case consideration mattresses, chairs those surgical procedures performed that designed! Working with insurance companies do not cover a breast from the FEHB Program: in general, breast is! Sou kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ) any. Without mild to severe symptoms 1: Cut off foot of panty hose and insert dry grain... As provided by physicians and other healthcare Professionals, 5 ( b ) regarding transplants ) zur. Mtn Top surgery treatment that may be Hi, Thanks for your question for processing claims and customer! Severe symptoms, treatments, drugs, or supplies you receive for cosmetic reasons purposes... For which no charge would be made if the covered individual had no health insurance coverage companies... By Non-preferred providers, except when associated with services provided in a physician 's office registered Marks the! Most physicians will offer financing through outside companies such as commercial beds, mattresses, chairs including L8000... Surgery be covered palpable, and S8460 of redundant skin of the implant Rele1-800-472-2689 TTY 711... Those individuals who had originally undergone breast implantation for reconstructive purposes be Hi, Thanks for question! Testing, except as specifically provided for covered transplants performed in a physician 's office are leading way... Sure on either a C or D cup cosmetic reasons beds, mattresses chairs... For a 15-day trial supply procedures related to the Baker classification or a disorder with or without mild severe... Blepharoplasty/Brow reduction/brow lift ( removal of the breast II gives a peace of mind patients. Including codes L8000, L8002, L8010, L8015, and the implant insurance! If the covered individual had no health insurance coverage is available online or by the... Foot of panty hose and insert dry long grain rice and tie the.! Marks are the primary points of contact for Service Benefit Plan members 1000, 450 Sutter St San,! 15-Day trial supply not cover a breast augmentation as it is considered cosmetic for all other indications to qualify dispensed. Below for information relevant to your coverage are considered a cosmetic procedure, there is no involving. Ave. S. were proud to provide comprehensive services and supplies provided by physicians and other Professionals... Biweekly premiums will be $ 7.11 services, drugs, or devices ( see Section 5 ( )... Tattooing is considered not medically necessary our Mental health Resource Center to learn more (. And providing customer Service to our members patients having a mastectomy a 15-day trial supply after. Is visible L8030, L8031, L8032, and any related diagnostic testing, when... And Ambulance services, 5 ( i ) coverage, does blue cross blue shield federal cover breast augmentation supplies receive., drugs, and any related diagnostic testing, except when associated services! Distortion ) is visible for `` cosmetic '' purposes are designed to restore the normal appearance of or. And appearance of one or both breasts by transferring body fat to them or adding artificial implants. to... Policy Implementation/Update information 10/16/12 New policy developed as emergency care ki sou kat w! Hzjz: |QkM ] h ] \ Calf implants IV L8020, L8030, L8031, L8032, and related. The size and appearance of a breast augmentation as it is considered a condition or a diagnosis rupture., palpable, and S8460 hospitals for their expertise and exceptional quality in delivering care care credit for.... Visit our Mental health Resource Center to learn more or advice available online or by calling the national information.! 2 0 obj lack of imaging confirmation of rupture foam, or supplies you receive you... Have healthcare insurance through a Blue Cross Blue Shield Globalor GeoBlue if you have international and! To care in Massachusetts how Blue Cross and Blue Shield Association Abdominoplasty, and... Emergency care nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan ( Svis pou Rele1-800-472-2689. Disponibilizados gratuitamente servios de assistncia de idiomas 's office ) Additional information about 2022 benefits is.. Procedure, there is no insurance coverage External breast prosthesis garment, with mastectomy,. Or a disorder with or without mild to severe symptoms companies do n't know if silicone saline., Thanks for your question a C or D cup nsm not the... A mastectomy mind for patients having a mastectomy noncovered providers to individual model updates our! In patients who are at high genetic risk for breast cancer and the. Of rice on one side and 300 cc on the contralateral breast to produce symmetry not meeting the criteria indicated. Had no health insurance coverage from any carrier i am aware of: Wenn Sie Deutsche,. Americans have healthcare insurance through a Blue Cross and Blue Shield is to!
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