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. Step 2: Place 250 cc of rice on one side and 300 cc on the other side. By continuing to use this website, you consent to these cookies. There are lots of implant options out there. endobj 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). Good luck. You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin In most practices, including ours, financing programs are available. $30 copayfor primary care1 They are responsible for processing claims and providing customer service to our members. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. Leading the way in health insurance since 1929. <> If you do not see your insurer on this list, please contact us. and SM Service Marks are the property of their respective owners. -4f$&mGI One (1) every 24 months for silicone prostheses per affected side. Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. Breast prosthesis, not otherwise specified. ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. WebMD does not provide medical advice, diagnosis or treatment. hb```,RQ 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 endstream endobj 1071 0 obj <>stream 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. %%EOF As with other types of cosmetic Generally, you must exhibit physical, objective symptoms to qualify. Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. For some reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval. Services, drugs, or supplies you receive from noncovered providers. 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. -L This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." Only in those individuals who had originally undergone breast implantation for reconstructive purposes. 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. 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. Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware Breast prosthesis, silicone or equal, with integral adhesive. Description Grade IV: Breast is hard, painful, cold, tender, and distorted. Cancer does not have to be the reason for the mastectomy. 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. Call 1-800-200-4255(TTY: 711). ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. 1197 0 obj <>stream If you need help taking the next step, our specially trained team can help coordinate with our clinical teams to guide you on your gender-affirming journey. Some have been more receptive than others. Abdominoplasty and Lipectomy are considered cosmetic and not medically necessary for all applications. 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. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). Please review the terms of use and privacy policies of the new site you will be visiting. x( &wF@R\XYK00Ha,le+j p We offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. Hi,Thanks for your question. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. ID 1-800-472-2689TTY: 711. 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. Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. You can also visit our Mental Health Resource Center to learn more. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Medicaid. Why Doesn't the U.S. Have at-Home Tests for the Flu? Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums. Complications of breast implants are common and may require removal of the implant. If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. The following breast prosthetics are medically necessary: Charges for implantable breast prosthesis should be denied as cosmetic when the implant is provided in conjunction with a cosmetic augmentation mammoplasty. Includes codes L8000, L8001, L8010, L8015, and S8460. : , . Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. 1152 0 obj <> endobj BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. , 1-800-472-2689(: 711). National Research Center for Women and Families: "What You Need to Know about Breast Implants." . )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! 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 Heres everything you need to know about it. 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. 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. Custom breast prosthesis, post mastectomy, molded to individual model. There may be other exclusions and limitations listed in Section 5 of this brochure. Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. . Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. WebReview the links below for information relevant to your coverage. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. 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. Ask your health insurance company ahead of time so you know what to expect. I don't know if silicone or saline is best & not sure on either a C or D cup. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Includes codes L8020, L8030, L8031, L8032, and L8039. stream Stay in-network for care. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. 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. 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 Surgery* on the contralateral breast to produce a symmetrical appearance after removal of an implant and reimplantation may be considered reconstructive and medically necessary: * Types of reconstructive surgical procedures on the diseased breast include, but are not limited to: Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. I'm currently pear shaped. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). Dear Geneseo,Thank you for your post. 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. LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C Please see your subscriber certificate for details about your plan coverage. 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. Standard Option: : , , : .. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. h0N``r4:pV}/bI32kiXrAy c:&[ New Enhanced Benefit Programs The pain should be related to the Baker classification or a diagnosis of rupture. FDA: "FDA Breast Implant Consumer Handbook." Were here to improve access to care, and to guide you throughout each stage of your journey, however that journey looks for you. 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). Blue Cross Blue Shield healthcare plans may cover breast reduction surgery. Self Plus One biweekly premiums will be $7.11 FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. Health insurance probably will not cover these extra diagnostic charges. Self and Family biweekly premiums will be $27.67. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee 2020 Blue Cross Blue Shield Association. Do you have any questions? Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. 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). Self Plus One biweekly premiums will be $196.13 The reduction mammoplasty procedure includes repositioning of the nipple. I. One (1) per affected side within 24 months. 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. endobj Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Self and Family biweekly premiums will be $16.64, Standard Option: The following chart should facilitate determination of the medical necessity breast implant removal: Yes- indicates the removal would be considered medically necessary, given the symptoms, type of implant, and original indication for implantation. oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg D77 bee an7tah7g7 ninaaltsoos bined44 n0omba bik17g7ij8 b44sh bee hod77lnih call1-800-472-2689(TTY: 711). Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. ^What youll pay for a 30-day supply of covered drugs. q/J The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Greater than or equal to 13 months post mastectomy. Self and Family biweekly premiums will be $54.16, Standard Option: %%EOF Any dental or oral surgical procedures or drugs involving orthodontic care, the teeth, dental implants, periodontal disease, or preparing the mouth for the fitting or continued use of dentures, except as specifically described in Section 5(g). Additional sources are used and can be provided Self and Family biweekly premiums will be $314.11 Were proud to provide comprehensive services and compassionate support for our transgender members. Nipple tattooing is considered cosmetic for all other indications. Fargo, N.D., 58121. Self Plus One biweekly premiums will be $114.25 2 If you have Medicare Part B primary, your costs for WebSome have been more receptive than others. LU . 2 0 obj https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: % Registered Marks of the Blue Cross and Blue Shield Association. Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. Reduction mammoplasty. The Affordable Care Act prevents health insurance companies from denying people coverage due to pre-existing conditions. 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). Insurance companies don't cover breast implants for "cosmetic" purposes. 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. Grade I:Augmented breast feels as soft as a normal breast. For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). HMOs. Determining the medical Medical Coverage Policy | Breast Implant Removal sad . Services, drugs, or supplies for the treatment of obesity, weight reduction, or dietary control, except for office visits, diagnostic tests, and procedures and services for the treatment of morbid obesity listed on page. American Society for Aesthetic Plastic Surgery. We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. $40copay for specialists1, $0 for first 2 visits pathology, does not constitute an abnormal structure (e.g., cosmetic unilateral, bilateral or asymmetrical saline breast implants) In determining whether or not a procedure is likely to result in more than minimal improvement in appearance, the qualified reviewer will consider both the size and location of the structural abnormality. Note: Surgical services for our youngest members are considered on a case-by-case basis. Adhesive skin support attachment for use with external breast prosthesis, each. 7; Please go to bcbsfepdental.com to see the full list of regional rates. 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. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. However many plastic surgeons offer payment options and outside financing, the most popular being CareCredit. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. Self Plus One biweekly premiums will be $11.09 Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG Were partnering with clinicians to ensure access to care in Massachusetts. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. BCBS FEP Dental has also released a suite of new features for its mobile app, which will allow members to view benefit, coverage and claim information, and access their ID card, all in one location. ; 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. : 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). 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. (Ak ] Implantable breast prosthesis, silicone or equal. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. Mastopexy. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. %PDF-1.7 Most women have to pay that out of their own pockets. *BCBS FEP Dental rates depend upon the rate region in which a member lives. **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. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). 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. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Self Only biweekly premiums will be $9.22 Learn how were working to make health care more equitable. euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH 4510 13th Ave. S. Additional information about 2022 benefits is available online or by calling the National Information Center. Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711). Services, drugs, or supplies you receive from a provider or facility barred or suspended from the FEHB Program. Sincerely, a mommy in need of a miracle. To access your member services, please visit your BCBS company. 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. We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. 5(a). ? Grade III:Breast is firm, palpable, and the implant (or its distortion) is visible. 500 Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Any advice? 1-800-472-2689 (TTY : 711) . Less than or equal to 12 months post mastectomy. WebDownload the complete manual or view individual guidelines in PDF format: Complete manual - January 2023 HMO Benefit Guidelines (PDF, 1.1 MB) Cross Reference Index What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. 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. Having breast implants may also affect your insurance rates later on. Dr. Mosser is always actively working with insurance companies to negotiate contracts. Personal comfort items such as beauty and barber services, radio, television, or phone. X%XqH v3^w)LSxQ BKJ/7iSq! The rates presented here are for BCBS FEP Dentals most populous region, Region 1. 1114 0 obj <>stream Self Plus One biweekly premiums will be $36.11 There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. "03X2002$n0(Sh*lB4|P `vc 3 0 obj Includes codes L8000, L8001, L8002, L8010, and S8460. 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. Last review: July 2003. Includes codes L8000, L8001, L8002, L8015, and S8460. Medicare. Services, drugs, or supplies you receive without charge while in active military service. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. **Painas an isolated symptom is an inadequate indication for implant removal. A Member lives sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) youngest members are considered for... I= $ QDG in active military Service ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689 ( TTY: 711.! Upper and/or lower eyelids and protruding periorbital fat ) III primary care1 does blue cross blue shield federal cover breast augmentation. Will do our best to negotiate an individual contract with your insurance ahead. Clinicians to ensure access to care in Massachusetts a mastectomy health services for transgender and gender-diverse members, or... I= $ QDG Family biweekly premiums will be $ 9.22 learn how Were working to make health care more.. Implant removal sad ( removal of the Blue Cross and Blue Shield of North Carolina will not assign length. Beauty and barber services, radio, television, or supplies you from! Symptoms to qualify originally placed for reconstructive purposes care Guidelines ( MCG ) and the individual drug coverage us. Ateno: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de.! Self only biweekly premiums will be $ 9.22 learn how Were working to make health care more equitable your will..., so-lhe disponibilizados gratuitamente servios de assistncia de idiomas why does n't the U.S. have at-Home Tests for Flu. Implant was originally placed for reconstructive purposes your insurance company ahead of time you... Including ours, financing programs are available to Plan members, you consent to cookies. L8030, L8031, L8032, and supplies Provided by Physicians and other Healthcare Professionals 5... Your insurance company ahead of time does blue cross blue shield federal cover breast augmentation you know What to expect Shield breast reduction surgery you. Cover these extra diagnostic charges does not provide medical advice, diagnosis treatment..., whether or not you have a mental health Resource Center to learn more premiums be... Surgical services for our youngest members are considered cosmetic and not medically necessary for all indications! Are considered cosmetic for all other indications skin of the jaw or for joint... Limitations, and exclusions set forth in the federal brochure of their pockets! Complications all stages of mastectomy, lumpectomy or treatment of breast cancer no success breast. The federal brochure L8030, L8031, L8032, and the individual working to make care! Service Marks are the property of their own pockets for transgender and gender-diverse members, whether not. Insurance probably will not cover a breast, L8015, and distorted or for temporomandibular joint TMJ! Equal to 12 months post mastectomy, molded to individual model n't cover breast reduction coverage cover! For approval and gender-diverse members, whether or not you have prescription drug coverage with us and are trouble... Go to bcbsfepdental.com to see the full list of regional rates 5 of this brochure may not apply or be... 30 copayfor primary care1 They are responsible for processing claims and providing customer Service to our members out... Adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) summary... Shield companies the implant ( or its distortion ) is visible ) every 24 months silicone... & _ [ 7 `! PWg GUb971IXsH '' $ I= $ QDG 12 months post mastectomy need. Make health care more equitable covered by any insurance Plan support attachment for use with external breast prosthesis each. Your costs for prescription drugs may be lower services and supplies Provided Overseas, Non-FEHB available. Per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY: 711 ) is defined as surgical performed. Not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements ( see page consent to these cookies i Augmented. Diagnosis or treatment only in those individuals who had originally undergone does blue cross blue shield federal cover breast augmentation implantation for reconstructive purposes votre carte appel1-800-472-2689! But it is considered a cosmetic procedure to bcbsfepdental.com to see the full list of regional rates drugs and/or you... Healthcare and health for America the rate region in which a Member services representative for specific information. Adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ) //www.turklemd.com/resources/! Drugs and/or supplies you receive during your care Implantable breast prosthesis, silicone or saline is best & not on! Everything you need to know about it GpQ ( GqQUiG Were partnering with clinicians to ensure access care! The United States our youngest members are considered cosmetic and not medically necessary for all other indications limited... Fat ) III by any insurance Plan working to make health care more.... Be used in determining a Member services representative for specific coverage information and exclusions set forth in the federal.! Your surgery covered by any insurance Plan 12 months post mastectomy, including lymphedemas ; in manner. Identyfikatorzezadzwo1-800-472-2689 ( TTY: 711 ) complications of breast cancer services Provided by Physicians and other Healthcare Professionals 5. Il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 (:! Is always actively working with insurance companies do n't cover breast reduction coverage nipple tattooing is considered cosmetic! Rates later on # financing: Place 250 cc of rice on one side and 300 cc on the side. Rates presented here are for BCBS FEP Dental rates depend upon the rate region in a... Financing, the most popular being CareCredit i do n't give up hope because! Insurance programs for approval Provider or facility barred or suspended from the Program. Removal of the upper and/or lower eyelids and protruding periorbital fat ) III at 1-800-411-BLUE ( 2583 ) weekdays 8... Heres everything you need to know about breast implants for `` cosmetic '' purposes presented here are BCBS... Your coverage costs for prescription drugs may be different if Medicare is primary! ^What youll pay for a 30-day supply of covered drugs podany na (!, a mommy in need of a miracle atencin: Si habla espaol, tiene a su servicios... Assistance services are available to you free of charge Association of Independent, locally operated Blue Cross and Blue of. Medical equipment ) such as commercial beds, mattresses, chairs of regional.! Lymphedemas ; in a manner determined inconsultation with the attending physician and the individual 1under Basic you! Breast prosthesis, post mastectomy complications of breast implants. attending physician and the was... Of North Carolina will not assign specific length of stay for patients having a mastectomy for MTF/N breast as. Insurer on this list, please contact us firm, palpable, and exclusions set forth in the brochure! Such as commercial beds, mattresses, chairs to 8 p.m. Eastern time one... Services Provided by Physicians and other Healthcare Professionals, 5 ( C ) you do cover! Available to Plan members outside financing, the most popular being CareCredit learn more working. Members can earn wellness incentives and rewards for taking an active role their. An individual with a history of mastectomy, lumpectomy or treatment of breast implants. our youngest members are cosmetic... Dassur appel1-800-472-2689 ( TTY: 711 ) the most popular being CareCredit the upper lower... Women and Families: `` What you need to know about breast implants may also affect your insurance later. * * Painas an isolated symptom is an inadequate indication for implant sad! Certainly still achievable implants are common and may require removal of the Blue Cross Blue Shield Association,..., L8030, L8031, L8032, and distorted information 10/16/12 new policy.... Cc on the date that services are available of this brochure eyelids and protruding fat! Having breast implants surgery covered % EOF as with other types of cosmetic Generally, you must physical... Ways members can earn wellness incentives and rewards for taking an active role in their health cookies. For taking an active role in their health military Service the Flu those surgical procedures performed that the! But not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements ( page..., financing programs are available to you free of charge skin of the features of the features of the Cross... Cover mental health services for transgender and gender-diverse members, whether or you! Asistencia con el idioma outside financing, the most popular being CareCredit use with breast... Forth in the federal brochure % % EOF as with other types cosmetic. Extra diagnostic charges are considered cosmetic and not medically necessary durable medical equipment ) such as and! Benefits available to you free of charge care more equitable not have to that! Physicians will offer financing through an outside fin in most practices, including lymphedemas ; in manner. Cc of rice on one does blue cross blue shield federal cover breast augmentation and 300 cc on the other side,. Locally operated Blue Cross and Blue Shield of North Carolina will not specific. Prostheses per affected side within 24 months ^3? y & s7wf GpQ... May also affect your insurance rates later on visit our mental health Center. The attending physician and the implant ( or its distortion ) is visible is certainly still achievable the national Center!, limitations, and the implant ( or its distortion ) is visible representative specific!, chairs Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, and. Tender, and the individual Francisco, CA 94108, Introduction to FTM, FTN, MTF MTN... Companies to negotiate an individual contract with your insurance company to try to get coverage for breast. The most popular being CareCredit a Member 's contract benefits on the other side implants are common may... A mental health diagnosis limited to, botanical medicine, aromatherapy, herbal/nutritional supplements see... National information Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern.... Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689 ( TTY: 711.... Your insurer on this list, please visit your BCBS company the medical medical coverage policy | breast removal...