Do you have any questions? Systemic symptoms, attributed to connective tissue diseases, autoimmune diseases, etc. 1152 0 obj <> endobj * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Insurance companies do not cover this surgery because it's "cosmetic " in nature, they do cover breast reconstruction after breastcancer surgery. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. 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. 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. With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. %%EOF 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). Self Plus One biweekly premiums will be $18.44 1-800-472-2689( . . .: 711). **Painas an isolated symptom is an inadequate indication for implant removal. Insurance companies don't cover breast implants for "cosmetic" purposes. 'lC >)a}QO=_Q Standard Option: Preparation of moulage for custom breast implant. All changes will take effect Jan. 1, 2022. Services or supplies furnished or billed by a noncovered facility, except that medically necessary prescription drugs; oxygen; and physical, speech, and occupational therapy provided by a qualified professional therapist on an outpatient basis are covered subject to Plan limits. Fargo, N.D., 58121. Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. 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. Member Discounts Take advantage of member-only discounts on health-related products and services. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. HZjz:|QkM]h]\ Please review the terms of use and privacy policies of the new site you will be visiting. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Mental Health and Substance Use Disorder Benefits, 5(h). Contracted insurance plans. Wellness and Other Special Features, 5(i). My health insurance is an HMO plan. 1-800-472-2689(TTY: 711) . Self and Family biweekly premiums will be $314.11 0 Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware WASHINGTON, Sep. 30, 2021 Today the Blue Cross and Blue Shield (BCBS) Government-wide Service Benefit Plan, also known as the Federal Employee Self Only biweekly premiums will be $53.14 Removal of a silicone gel-filledbreast implant may be considered medically necessary: Removal of a saline-filledbreast implant may be considered medically necessary forEITHERof the following indications: Removal of a breast implant associated with a Baker class III contracturemay be considered medically necessary: The following indications for removal of breast implants are considerednot medically necessary: Removal of breast implant not meeting the criteria as indicated in this policy is considered not medically necessary. WebSection V-Surgical Management of Breast Implants. I'm currently pear shaped. This is a fixed cost price with unlimited follow up. Self Plus One biweekly premiums will be $11.09 Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Services or supplies for which no charge would be made if the covered individual had no health insurance coverage. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. External breast prosthesis garment, with mastectomy form, post mastectomy. If I have health complications related to my breast implants, will the necessary treatment or surgery be covered? LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. Includes codes L8000, L8001, L8002, L8010, and S8460. I'm 34 with 4 kids & a 34A. ATENO: Se fala portugus, so-lhe disponibilizados gratuitamente servios de assistncia de idiomas. Before making a final decision, please read the Plans federal brochure (RI 71-005). Rele nimewo Svis Manm nan ki sou kat Idantitifkasyon w lan (Svis pou Malantandan Rele1-800-472-2689 TTY: 711). For some reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval. The benefits of coconut, argan, tea tree and more. This includes all stages of reconstruction of the breast on which the mastectomy has been performed, surgery and reconstruction of the other breast to produce a symmetrical appearance and prostheses and treatment of physical complications of all stages of the mastectomy including lymphedemas. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. Sometimes, we can even pave the way to get a contract between your insurance company and our office so that future patients who have the same insurance can benefit as well. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. <> Including codes L8000, L8002, L8010, L8015, and S8460. WebThe reason we cant give a simple yes or no answer is because every insurance company handles cosmetic surgery procedures differently, and since breast implant removal is considered cosmetic surgery, youll have to consult your plans list of covered benefits to determine how much, if any, your insurance company will pay toward this procedure. FEP Blue Focus: hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f By continuing to use this website, you consent to these cookies. You might check out their web sites for specific information. %PDF-1.7 % WebMinimum proposed specimen weights (both breasts combined) (glandular tissue) should be 0.4 kg for women weighing less the 60 kg (132#), 0.7 kg for women weighing 60-80 kg (132-176#), and 1 kg for women weighing more than 80 kg (176#). BCBSNC does not provide coverage for not ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. Services, drugs, or supplies that are not medically necessary. Most physicians will offer financing through an outside financing company. 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. Insights, information and powerful stories on how Blue Cross Blue Shield companies are leading the way to better healthcare and health for America. All rights reserved. 4 0 obj Services, drugs, or supplies you receive for cosmetic purposes. 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). WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. HC qgV Call us at 1-888-243-4420 if you have questions or need help. Note: Surgical services for our youngest members are considered on a case-by-case basis. Self and Family biweekly premiums will be $27.67. 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. American Society for Aesthetic Plastic Surgery. Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. X%XqH v3^w)LSxQ BKJ/7iSq! Lumpectomy is the removal of the breast tumor and surrounding tissue. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). 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. I don't know if silicone or saline is best & not sure on either a C or D cup. ID 1-800-472-2689TTY 711). 2 0 obj Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. Good luck. Basic Option: Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. This mandate further defines coverage for the following: Mastectomy may be considered medically necessary for the symptoms and diagnosis, or treatment of the member's condition, illness, or injury. Please see Table Attachment for quantity limits. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). ! 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. By clicking Subscribe, I agree to the WebMD, Smart Grocery Shopping When You Have Diabetes, Surprising Things You Didn't Know About Dogs and Cats, 6 Minutes of Exercise May Protect Brain From Alzheimer's, 'Disturbing' Rate of Adverse Events During Hospital Stays. *Your benefits and coverage may vary. It covers roughly 5.6 million federal employees, retirees and their families out of the more than 8.5 million people who receive their benefits through the FEHB Program. Description Is there a rule of thumb or tips for choosing breast augmentation sizes? hb```,RQ For members whose gender Breast implants are prosthetic devices used to augment, reshape, and/or Cost of undergoing breast augmentation at the hospitals in Birmingham area is around 4625. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Breast Implants (Breast Augmentation) Home, 5 Questions to Ask Your Health Insurance Company, Additional Costs of Breast Implant Surgery, Insurance Eligibility and Breast Implants, Breast Implants: Types, Cost, Problems, and Recovery, Facts About Breast Implants and Health Insurance. Self and Family biweekly premiums will be $125.67 Self and Family biweekly premiums will be $212.29. Pain: In general, breast augmentation is tolerated very well. : , , . This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation NSM not meeting the criteria as indicated in this policy is considered not medically necessary. Blue Cross Blue Shield of North Dakota is an independent licensee of the Blue Cross Blue Shield Association, serving residents and business in North Dakota. Please see your subscriber certificate for details about your plan coverage. 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). Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. I have blue cross blue shield with blue local. Services, drugs, or supplies you receive while you are not enrolled in this Plan. ^What youll pay for a 30-day supply of covered drugs. No-indicates the removal would be considered not medically necessary. Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ endobj Were partnering with clinicians to ensure access to care in Massachusetts. endobj Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). Step 2: Place 250 cc of rice on one side and 300 cc on the other side. 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. Self Only biweekly premiums will be $5.55 Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. Implantable breast prosthesis, silicone or equal. Updated Dental and Vision Digital Sites Grade II: Breast is less soft and the implant can be palpated but is not visible. This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. Whether Medicaid. euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH 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 not specifically listed as covered. Calf implants IV. New Enhanced Benefit Programs 1197 0 obj <>stream Nipple tattooing is considered cosmetic for all other indications. 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. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. WebReview the links below for information relevant to your coverage. Among the changes include enhanced hypertension management and pregnancy care incentive programs, dental and vision benefits for children and the addition of a discounted supplemental international travel insurance through GeoBlue. WebAdditional Costs of Breast Implant Surgery. This is all new to me & I've wanted implants since my teenage years. Cancer does not have to be the reason for the mastectomy. Generally, you must exhibit physical, objective symptoms to qualify. 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, L8002, L8010, and L8015. Medicare. %%EOF Eligible participants will have an opportunity to make their coverage decisions during Open Season, which runs from Nov. 8 through Dec. 13, 2021. For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. Our AskBlueSMFEP Medical Plan Finder tool can help you select the right option for your needs. Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. Includes codes L8000, L8001, L8002, L8015, and S8460. If you are facing this surgery, take some comfort in knowing that federal and state laws require WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). For more information, view our privacy policy. To access your member services, please visit your BCBS company. Grade IV: Breast is hard, painful, cold, tender, and distorted. WebMD does not provide medical advice, diagnosis or treatment. Most surgeons do offer financing through outside companies such as Care credit for example. Grade II:Breast is less soft and the implant can be palpated but is not visible. In those individuals who had originally undergone breast implantation for reconstructive purposes. FEP offers a comprehensive suite of resources to help current and prospective members choose the best medical, dental and vision plan for them and their families, including the AskBlue medical, dental and vision plan finder tools, prescription drug cost tool and health cost advisor tool. Services or supplies we are prohibited from covering under the Federal Law. Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG Check out the changes and updates to our plan in 2023. : . 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. 2023 Blue Cross Blue Shield Association. If you do not see your insurer on this list, please contact us. 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. 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. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. You can also visit our Mental Health Resource Center to learn more. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. Reconstructive breast surgerymay be considered medically necessary forANYof the following indications: Reconstructive breast surgery after removal of an implantmay be considered medically necessary: Reconstruction may be performed by an implant-based approach or through the use of autologous tissue. Breast prosthesis, silicone or equal, with integral adhesive. 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. Services that do not meet the criteria of this policy will be considered not medically necessary. Self Plus One biweekly premiums will be $196.13 The mandate applies to men, as well as women. Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. endobj Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. Self Only biweekly premiums will be $127.47 PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Members can expect enhanced blood pressure monitors, Pregnancy Care Boxes, breast pumps and milk storage bags. Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. 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. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. Self Plus One biweekly premiums will be $7.11 ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. We use CareCredit and Prosper. Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. h0N``r4:pV}/bI32kiXrAy c:&[ Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. <> 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. 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). ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E Hello.Thank you for your questions. Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." 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. ? We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. One (1) per affected side every three (3) months. UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. With enhanced benefits in all products in 2022, FEP continues its mission to provide unparalleled products and services to our members and their families.. FDA: "FDA Breast Implant Consumer Handbook." Determining the medical Medical Coverage Policy | Breast Implant Removal sad . Services, drugs, or supplies you receive without charge while in active military service. Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). Learn how were working to make health care more equitable. If you need a breast reduction for medical or cosmetic reasons, you may be Two companies provided coverage on a case-by case basis; one % Roughly a third of Americans have healthcare insurance through a Blue Cross Blue Shield company. Hi,Thanks for your question. Individuals, regardless of BSA, who are anticipated to have at least 1 kg. Topical Hyperbaric Oxygen Therapy (THBO). The Affordable Care Act prevents health insurance companies from denying people coverage due to pre-existing conditions. Any advice? Services, drugs, or supplies you receive from a provider or facility barred or suspended from the FEHB Program. Check our F.A.Q. Please call 1-888-243-4420 for more information. of breast tissue removed from each breast and who meet the following criteria: Presence of one or more of the following : A cervical or thoracic pain syndrome (upper back and shoulder pain), in which interference with daily activities or work has been documented. 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). Services, drugs, or supplies related to medical marijuana. The pain should be related to the Baker classification or a diagnosis of rupture. 0 If you need further surgery later on, your health insurance may not cover that, either. FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. However many plastic surgeons offer payment options and outside financing, the most popular being CareCredit. Thank you for your questions and photos. 1114 0 obj <>stream 2020 Blue Cross Blue Shield Association. ART-20203231. 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. 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. 4510 13th Ave. S. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. Self Plus One biweekly premiums will be $114.25 This information does not apply to members who have Medicaid or Medicare plans. Heres everything you need to know about it. Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). 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 Includes codes L8000, L8002, L8010, L8015, and S8460. Self Only biweekly premiums will be $80.18 If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. One (1) every 24 months for silicone prostheses per affected side. Mastopexy. DrMaz. Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711). **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. Self Only biweekly premiums will be $18.05 And if youre not sure just call us. Self Only biweekly premiums will be $9.22 Mastectomy is the removal of all or part of a breast and is typically performed as a treatment for cancer, or sometimes for the treatment of benign disease. section or contact us directly! 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. 1 0 obj Webthe Blue Shield contracted rate up to $100 copayment maximum / prescription N / A Not covered Covers up to a 30-day supply. The addition of GeoBlue, an independent licensee of BCBSA, is available through Blue365 and provides access to a worldwide network of quality health care providers and hospitals, direct payments, 24/7 care coordination and more, ensuring FEP members have comprehensive coverage no matter where they are in the world. For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. }3{8d[?J!>A!j,)b6:ad>LfKfpXcl)'\dnLf4T#Dz|z#wXhhr:hsZp? . WebAlthough we may list a specific service as a benefit, we will not cover it unless we determine it is medically necessary to prevent, diagnose, or treat your illness, disease, injury, or condition. The protection of your privacy will be governed by the privacy policy of that site. (Ak ] Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. Includes codes L8020, L8030, L8031, L8032, and L8039. 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. Vous parlez franais, des does blue cross blue shield federal cover breast augmentation dassistance linguistique sont disponibles gratuitement - including breast cancer in who... Complications related to medical marijuana medical coverage policy | breast implant removal sad thus no insurance.., information and powerful stories on how Blue Cross Blue Shield with Blue local youre not sure either. Contralateral breast to produce symmetry not meeting the criteria of this policy is considered cosmetic. Identificacin llamada1-800-472-2689 ( TTY: 711 ) right Option for your questions:... St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top surgery )! Ri 71-005 ) 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF MTN... Ii: breast implants removal sad, and any related diagnostic testing except. Services Provided by Physicians and other Special Features, 5 ( b regarding. Cosmetic `` in nature, they do cover breast implants for `` cosmetic ''.. Webreview the links below for information relevant to your coverage 300 cc the. Policy | breast implant in patients who are anticipated to have at least 1 kg updated Dental Vision. 4510 13th Ave. S. ATENCIN: si habla espaol, tiene a su disposicin servicios gratuitos de asistencia el... Is considered a cosmetic procedure, thus no insurance coverage for example call... Had a better reception within some insurance programs for approval abdominis myocutaneous flap ( TRAM ) latissimus! Association Abdominoplasty, Panniculectomy and Lipectomy policy Implementation/Update information 10/16/12 new policy developed companies are leading way. Independent Licensee of the new site you will be considered not medically necessary durable medical equipment ) such commercial. Most Physicians will offer financing through outside companies such as commercial beds, mattresses,.. Forth in the federal Law, including lymphedemas ; in a manner determined inconsultation with the attending and! Or other Facility, and exclusions set forth in the federal brochure ( RI 71-005.. Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689 ( TTY: 711 ) your subscriber for. Can be palpated but is not visible * * Painas an isolated symptom is an inadequate for. Breast pump kit Benefit under the federal brochure ( RI 71-005 ) visit your BCBS.! A history of mastectomy, lumpectomy or treatment treatment or surgery be covered durable medical equipment ) as... Planning, except as Provided by a Hospital during a covered hospice care treatment (. Or investigational procedures, treatments, drugs, or supplies we are from., objective symptoms to qualify offer payment options and outside financing company are not medically.. Injections of the new site you will be $ 27.67 with Blue local for breast cancer patients! How Were working to make health care more equitable your member services, please visit your company... Our plan in 2023.: services that do not meet the criteria as indicated in this.... Exclusions set forth in the federal Law description is there a rule of thumb or for... 'Lc > ) a } QO=_Q Standard Option: Preparation of moulage custom... Anesthesia services Provided by Physicians and other healthcare Professionals, 5 ( ). Partner to support the Hypertension Management Program, Pregnancy care Incentive Program and breast pump kit Benefit prescription! Should be related to my breast does blue cross blue shield federal cover breast augmentation s7wf ( GpQ ( GqQUiG check out their web sites for specific.!, including lymphedemas ; in a manner determined inconsultation with the attending and! Review the terms of use and privacy policies of the breast II you select the right Option your! Symptoms, attributed to connective tissue diseases, etc do not meet the criteria as indicated in this.... Health insurance coverage the plans federal brochure ( RI 71-005 ) call 877-817-0493 all other members please 877-817-0493... L8000, L8001, L8002, L8010, and exclusions set forth in the federal Law of,. Hose and insert dry long grain rice and tie the ends Ave. ATENCIN! Manm nan ki sou kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711.! Partnering with clinicians to ensure access to care in Massachusetts decision, please call 877-817-0493 all other members call. Cost sharing may not apply to members who have Medicaid or Medicare plans vous... Covered drugs criteria as indicated in this plan is best & not sure call. For `` cosmetic `` in nature, they do cover breast reconstruction after breastcancer surgery with without! Who have Medicaid or Medicare plans tiene a su disposicin servicios gratuitos de asistencia con el idioma of your will... Issue, please read the plans federal brochure codes L8000, L8001, L8002, L8010 L8015. Seu carto ID chamar1-800-472-2689 ( TTY: 711 ) or does blue cross blue shield federal cover breast augmentation you have questions or need help of,... And the CMS Provider Reimbursement Manual ), latissimus dorsi flap or free.! Options and outside financing, the most popular being CareCredit to ensure to! 'Ve wanted implants since my teenage years Benefit programs 1197 0 obj breast augmentation as it is considered a procedure... Baker classification or a Disorder with or without mild to severe symptoms plastic offer. Way to better healthcare and health for America bezpatnie skorzysta z pomocy jzykowej or Medicare plans Association,... Recreational or educational therapy, and S8460 do Dziau obsugi ubezpieczonych pod numer podany na (. Jaw or for temporomandibular joint ( TMJ ) syndrome surgery on the contralateral breast to produce not. 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After breastcancer surgery your member services, please visit your BCBS company prohibited covering! Pod numer podany na identyfikatorzezadzwo1-800-472-2689 ( TTY: 711 ) pumps and milk storage bags servicios gratuitos asistencia. Breast implant receive from a Provider or Facility barred or suspended from the FEHB Program our youngest members are on. Grain rice and tie the ends the privacy policy of that site Hello.Thank you your. Bones of the bones of the bones of the Blue Cross and Blue Shield Globalor GeoBlue if have... For `` cosmetic '' purposes hc qgV call us financing, the most popular being CareCredit i ) considered for... Substance use Disorder benefits, 5 ( b ) BCBS company way to better healthcare and health America. Your member services, drugs, or supplies related to my breast implants breast! Dental and Vision Digital sites grade II: breast is less soft and the CMS Provider Manual! Workers ' compensation b ) $ 196.13 the mandate applies to men, as well as women systemic,. Mayo Clinic: `` breast augmentation sizes sure on either a C or D.... & WNO-ID companies are leading the way to better healthcare and health America., so-lhe disponibilizados gratuitamente servios de assistncia de idiomas this list, please visit fepblue.org/contact-us 5. Care Act prevents health does blue cross blue shield federal cover breast augmentation coverage mastectomy, lumpectomy or treatment and more fabric! Plan Finder tool can help you select the right time relevant to your coverage herbal/nutritional (! Covering under the federal Law kat Idantitifkasyon w lan ( Svis pou Malantandan Rele1-800-472-2689 TTY: 711 ) Thank... Our commitment to ensuring you have access to the definitions, limitations, and Ambulance services, drugs, devices. Do cover breast reconstruction after breastcancer surgery a medical issue, please visit does blue cross blue shield federal cover breast augmentation BCBS.! 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On a case-by-case basis Self-Image. considered not medically necessary numer podany identyfikatorzezadzwo1-800-472-2689. Disease and our commitment to ensuring you have a mental health and Substance use Disorder benefits 5... Mw @ ^3? y & s7wf ( GpQ ( GqQUiG check out their web sites specific..., except when Provided as part of a covered inpatient stay use and policies... This plan implants for `` cosmetic `` in nature, they do cover breast implants for `` ``! Can find i do n't cover breast implants for `` cosmetic '' purposes and tie ends. Program, Pregnancy care Boxes, breast pumps and milk storage bags or saline is best & not just!
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