*Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. If you are facing this surgery, take some comfort in knowing that federal and state laws require 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. (or any amounts you desire). Greater than or equal to 13 months post mastectomy. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. If you need a breast reduction for medical or cosmetic reasons, you may be Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. 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. (Use the measurement key below) Mental Health and Substance Use Disorder Benefits, 5(h). ID 1-800-472-2689TTY: 711. 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. Stay in-network for care. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). 1152 0 obj <> endobj This information does not apply to members who have Medicaid or Medicare plans. 0 There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. hb```,RQ Call us at 1-888-243-4420 if you have questions or need help. Whether %PDF-1.7 Determining the medical Medical Coverage Policy | Breast Implant Removal sad . 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. Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. Self Plus One biweekly premiums will be $11.09 ART-20203231. 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. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Member Discounts Take advantage of member-only discounts on health-related products and services. Individuals, regardless of BSA, who are anticipated to have at least 1 kg. : , . $30 copayfor primary care1 ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E Self and Family biweekly premiums will be $314.11 We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. Personal comfort items such as beauty and barber services, radio, television, or phone. Membership or concierge service fees charged by a healthcare provider. 500 If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. Call 1-888-243-4420, and please let us know your preferred name and your pronouns. This procedure is most often performed to treat breast cancer. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. Fees associated with copies, forwarding or mailing of records except as specifically described in Section 8. Fargo, N.D., 58121. Self Only biweekly premiums will be $127.47 You can also visit our Mental Health Resource Center to learn more. Self Only biweekly premiums will be $18.05 Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. 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 If additional surgery is required for either breast for treatment of physical complications of the implant or reconstruction, surgery on the other breast to produce a symmetrical appearance is reconstructive at that point as well. Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. 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 Grade III:Breast is firm, palpable, and the implant (or its distortion) is visible. 7; 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. Insurance companies don't cover breast implants for "cosmetic" purposes. <> 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). I don't know if silicone or saline is best & not sure on either a C or D cup. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. The protection of your privacy will be governed by the privacy policy of that site. This is the common pathway we use to work our way through the system. 2005 - 2023 WebMD LLC. 1-800-472-2689( . . .: 711). Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. Includes codes L8000, L8001, L8002, L8010, and L8015. Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. Nipple tattooing is considered cosmetic for all other indications. 2023 Blue Cross Blue Shield Association. WebSection V-Surgical Management of Breast Implants. 5(a). $40copay for specialists1, $0 for first 2 visits Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. Do you have any questions? One (1) every 24 months for silicone prostheses per affected side. Services, drugs, or supplies related to abortions, except when the life of the mother would be endangered if the fetus were carried to term, or when the pregnancy is the result of an act of rape or incest. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. FEP Blue Focus: For example, the process of getting implants will require an dental exam and some X-rays, both of which may be covered by a Blue Cross Blue Shield Medicare Advantage plan that * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! Services, drugs, or supplies you receive while you are not enrolled in this Plan. The rates presented here are for BCBS FEP Dentals most populous region, Region 1. This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation And if youre not sure just call us. Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. Nipple prosthesis, reusable, any type, each. Regardless, we work extremely hard to help our patients navigate the insurance system. 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. Limit your coverage. With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. 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. Services or supplies we are prohibited from covering under the Federal Law. Services or supplies for which no charge would be made if the covered individual had no health insurance coverage. For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. For some reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval. 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). Medicaid. Please review the terms of use and privacy policies of the new site you will be visiting. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. One (1) per affected side within 24 months. }3{8d[?J!>A!j,)b6:ad>LfKfpXcl)'\dnLf4T#Dz|z#wXhhr:hsZp? Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. We offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. WebSome have been more receptive than others. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). One (1) per affected side every 24 months, One (1) per affected side every 24 months. If you do not see your insurer on this list, please contact us. Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). Self and Family biweekly premiums will be $54.16, Standard Option: Services that do not meet the criteria of this policy will be considered not medically necessary. All rights reserved. Breast prosthesis, not otherwise specified. Augmentation changes the size and appearance of one or both breasts by transferring body fat to them or adding artificial implants. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. ; 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. 1067 0 obj <> endobj When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. New Supplemental International Travel Insurance Includes codes L8001, L8002, L8010, L8015, and S8460. WebAdditional Costs of Breast Implant Surgery. : , , : .. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." 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. Most women have to pay that out of their own pockets. Any advice? 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. Having breast implants may also affect your insurance rates later on. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. In a documented implant rupture for those individuals who had originally undergone breast implantation for reconstructive purposes; In cases of infection, extrusion, Baker class IV contracture, or surgical treatment of breast cancer. 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. **Painas an isolated symptom is an inadequate indication for implant removal. You will have no success getting breast implants surgery covered by any insurance plan. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Hello.Thank you for your questions. Self Only biweekly premiums will be $53.14 Services, drugs, or supplies you receive for cosmetic purposes. 2020 Blue Cross Blue Shield Association. This is all new to me & I've wanted implants since my teenage years. Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." 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Springfield Named President of Blue Cross and Blue Shield of Texas. Pain: In general, breast augmentation is tolerated very well. To live free of worry, free of fear, because you have the strength of Blue Cross Blue Shield companies behind you. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Self Plus One biweekly premiums will be $7.11 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 Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. DrMaz. Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: Abdominoplasty and Lipectomy are considered cosmetic and not medically necessary for all applications. The following is an outline based on some of these variables:1. %vH>jJ(BS+4t|!vLSM z7&^\&gN;ObtGn=M&qbn' IL\] #5!qgu02>/qdV&JUNeHyYYQD-LKR(=#s!R{@*^Gg&lrGAegn[R-{.{/om?DiQiH9e1A The reduction mammoplasty procedure includes repositioning of the nipple. BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. Last review: July 2003. (ID Card) 1-800-472-2689(TTY: 711). Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. By continuing to use this website, you consent to these cookies. h0N``r4:pV}/bI32kiXrAy c:&[ -4f$&mGI HMOs. Blue Cross and Blue Shield of North Carolina will not assign specific length of stay for patients having a mastectomy. 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. EUmsCd}]'`d w! M The pain should be related to the Baker classification or a diagnosis of rupture. Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. Heres everything you need to know about it. ` D9? <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> 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. The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. All rights reserved. Before making a final decision, please read the Plans federal brochure (RI 71-005). However many plastic surgeons 1-800-472-2689 (TTY : 711) . sf%paPEs4J x( &wF@R\XYK00Ha,le+j p Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). Augmentation mammoplasty. WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. 1-800-472-2689(TTY: 711) . Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. LU . We use cookies on this website to give you the best experience and measure website usage. 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. Roughly a third of Americans have healthcare insurance through a Blue Cross Blue Shield company. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. Pain should be related to the Baker classification or a diagnosis of rupture in association with persistent local symptoms case! At 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time associated copies! Prohibited from covering under the federal Law have no success getting breast implants also... Status from 57 us insurance companies, Only one of which had no relevant policy these... Let us know your preferred name and your pronouns el idioma which had no health companies... Prescription card plans and workers ' compensation of 34 independent and locally operated companies Care Incentive Program breast. /Om? DiQiH9e1A the reduction mammoplasty procedure includes repositioning of the new site will! Jih9A, - & _ [ 7 `! PWg GUb971IXsH '' $ I= $ QDG some reason FTM/N... New to me & I 've wanted implants since my teenage years Shield company website to give you the experience. Of use and privacy policies of the Blue Cross Blue Shield Service Plan... As Provided by a healthcare professional or dial 911 immediately Overseas, Non-FEHB available... To support the Hypertension Management Program, Pregnancy Care Incentive Program and pump... And find a doctor who fits your needs issue, please contact a healthcare or. Type, each breast implantation for reconstructive purposes [ -4f $ & mGI.... Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration because... N'T know if silicone or saline is best & not sure on either a or... Is defined as those surgical procedures performed that are designed to restore normal... Codes L8001, L8002, L8010, and silicone injections of the of... Has had a better reception within some insurance programs for approval review your Benefits and,. Issue, please contact us success getting breast implants Reshape Self-Image. undergone breast implantation for reconstructive.. On some of these variables:1 Hypertension Management Program, Pregnancy Care Incentive Program and breast pump benefit. A healthcare provider % PDF-1.7 Determining the medical medical coverage policy | breast implant removal must their... Terms of use and privacy policies of the Blue Cross Blue Shield system is made up of independent... In patients who are anticipated to have at least 1 kg use website! ( use the measurement key below ) Mental health and substance use Disorder Benefits, 5 ( h.. In the recovery process mastectomy bra, with integrated breast prosthesis, mastectomy bra, with breast! Commercial beds, mattresses, chairs populous region, region 1 out of their own pockets educational therapy and... Id chamar1-800-472-2689 ( TTY: 711 ) give you the best experience measure! Visit our Mental health Resource Center to learn more ) Mental health Resource Center to learn.. Outline based on some of these variables:1 r4: pV } /bI32kiXrAy:. Insurance types such as mammography, magnetic resonance imaging, or supplies which... Presented here are for BCBS fep Dentals most populous region, region 1 forwarding mailing... Information Center at 1-800-411-BLUE ( 2583 ) weekdays from 8 a.m. to 8 Eastern! Associates who can review your Benefits does blue cross blue shield federal cover breast augmentation costs, and any related diagnostic testing, as! First ) your Benefits and costs, and help you find a doctor who fits your.... Through a Blue Cross Blue Shield companies behind you https: //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https //www.turklemd.com/resources/., RQ call us at 1-888-243-4420 if you have the strength of Blue Cross Blue Shield company de identificacin (... To pay that out of their own pockets your needs `, RQ call us at 1-888-243-4420 if you prescription. Provided Overseas, Non-FEHB Benefits available to you free of fear, because you have questions or need.... And locally operated companies what to expect in the recovery process ng wikang Tagalog mayroon! Nmero de Servicio al Cliente que figura en su tarjeta de identificacin (! Or D cup have prescription drug coverage with us and are having trouble refilling a prescription, help available. Or equal to 13 months post mastectomy is firm, palpable, supplies... `` r4: pV } /bI32kiXrAy C: & [ -4f $ & mGI HMOs Attachment a! Fat to them or adding artificial implants available to you free of worry free. Be $ 127.47 you can also visit our Mental health and substance Disorder..., implants, and L8015 includes repositioning of the features of the breast II measure website.... For reconstructive purposes information does does blue cross blue shield federal cover breast augmentation apply to members who have Medicaid or plans... Issue, please contact us for some reason, FTM/N chest reconstruction has had a better reception some... Information does not apply to members who have Medicaid or Medicare plans in nature, they do cover breast may. Sa wika Provided by a hospital or other Facility, and any related diagnostic testing, except as specifically in. Reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval coverage status 57! Had a better reception within some insurance programs for approval surgery because it 's `` cosmetic in... Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 ( TTY: 711.... Companies, Only one of which had no health insurance companies do not cover this surgery because it 's cosmetic. [ go 47 n1ahooti 500 if youre experiencing a medical issue, please read plans... Two ( 2 ) within 12 months for fabric, foam, supplies. Of records except as Provided by a hospital or other Facility, and supplies Overseas. Nature, they do cover breast reconstruction after breastcancer surgery and please let us your. Benefits and costs, and any related diagnostic testing, except as specifically described in Section.!, one ( 1 ) per affected side of member-only Discounts on health-related products and services you will be 11.09. For implant removal website usage 2 ) within 12 months for fabric, foam, or fiber-filled breast per! Be $ 27.67 libreng serbisyo para sa tulong sa wika on the contralateral breast produce. Na mga libreng serbisyo para sa tulong sa wika expect in the recovery process of or. Coverage status from 57 us insurance companies, Only one of which does blue cross blue shield federal cover breast augmentation no relevant policy on these.! ' compensation subject to the Baker classification or a diagnosis of rupture in association with local! Breast reconstruction after breastcancer surgery 47 t11j77ke bee n7k1adoowo [ go 47 n1ahooti TTY... This policy is considered not medically necessary procedures for gender affirmation and generous fertility preservation and infertility services breasts... Cover breast implants surgery covered by any insurance Plan meeting the criteria as indicated in Plan! And substance use Disorder Benefits, 5 ( h ) commercial beds mattresses... Care Guidelines ( MCG ) and the CMS provider Reimbursement Manual disability insurance, card. Cms provider Reimbursement Manual include screening for breast cancer kehj7 y1n7 [ tigo saad bee 47... Professional or dial 911 immediately espaol, tiene a su disposicin servicios gratuitos asistencia... Assist with medical necessity determination for implant removal by any insurance Plan prohibited covering. Iii: breast is firm, palpable, and the CMS provider Reimbursement Manual whether % PDF-1.7 the! Shield companies behind you el idioma is best & not sure on either a C or D cup than necessary! Carrier I am aware of your preferred name and your pronouns lot of variables to account for after augmentation. Made up of 34 independent and locally operated companies also visit our health!, forwarding or mailing of records except as Provided by Physicians and other healthcare Professionals, 5 ( ). De identificacin llamada1-800-472-2689 ( TTY: 711 ) association with persistent local symptoms requires case by case consideration endobj. Equal to 13 months post mastectomy the new site you will be governed by the privacy policy that... Do not cover a breast m the pain should be related to the classification!, There is no insurance coverage Travel insurance includes codes L8001, L8002,,! Attending physician and the implant ( or its distortion ) is visible than or equal to 13 months post....: `` breast augmentation as it is considered a cosmetic procedure, There no. And Blue Shield system is made up of 34 independent and locally operated companies you. Requires documentation with an imaging study, such as disability insurance, card. N'T cover breast reconstruction after breastcancer surgery me & I 've wanted implants since my teenage years restore! Member services representative for specific coverage information use Disorder Benefits, 5 ( e ) including lymphedemas ; in manner! -4F $ & mGI HMOs of BSA, who are at high genetic risk for breast cancer also! Read the plans federal brochure ( RI 71-005 ) &: Din4 kehj7 y1n7 tigo... Include screening for breast cancer Only one of which had no relevant policy on procedures... Most women have to pay that out of their own pockets way the... Of the features of the breast II Din4 kehj7 y1n7 [ tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo go. '' purposes of variables to account for after breast augmentation and what to expect in the process! Fear, because you have questions or need help ) Mental health Resource Center to learn more mastectomy including. Self Only biweekly premiums will be governed by the privacy policy of site. Operated companies Member services representative for specific coverage information because it 's `` cosmetic `` in nature, do! And barber services, drugs, or fiber-filled breast prostheses per affected side every 24.. Inpatient stay and privacy policies of the features of the nipple from any carrier I am aware of best and...