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). Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. 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. 2005 - 2023 WebMD LLC. Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. Preparation of moulage for custom breast implant. BCBS FEP Vision plans will offer a second eye exam, frame and second pair of lenses when a prescription changes for children aged 13 and under. However many plastic surgeons Services, drugs, or supplies billed by Preferred and Member facilities for inpatient care related to specific medical errors and hospital-acquired conditions known as Never Events (see definition on page. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. WebSection V-Surgical Management of Breast Implants. New Supplemental International Travel Insurance We cover mental health services for transgender and gender-diverse members, whether or not you have a mental health diagnosis. Limit your coverage. We offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. ID 1-800-472-2689TTY 711). The rates presented here are for BCBS FEP Dentals most populous region, Region 1. 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. Self and Family biweekly premiums will be $10.67, Blue Cross Blue Shield FEP Dental Premiums in 2022*, High Option: What you need to know about the disease and our commitment to ensuring you have access to the right care at the right time. This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. Note: Surgical services for our youngest members are considered on a case-by-case basis. Before you get breast implants, ask your insurance company these five questions: Get the answers in writing and check back with your insurance company every couple of years, since it may change its policy. Custom breast prosthesis, post mastectomy, molded to individual model. For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. Includes codes L8000, L8001, L8002, L8010, and L8015. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Includes codes L8000, L8001, L8002, L8010, and S8460. Chin augmentation (reshaping or enhancing the size of the chin) New Enhanced Benefit Programs Self and Family biweekly premiums will be $314.11 Self Only biweekly premiums will be $127.47 Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. This is the common pathway we use to work our way through the system. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Breast prosthesis, not otherwise specified. One (1) per affected side every three (3) months. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f WebSome have been more receptive than others. I. 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. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. The information on RealSelf is intended for educational purposes only. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. Quantity Level Limits For Breast Prosthetics. Learn more about our Total Care and Blue Distinction Specialty Care designation programs and find a designated doctor or hospital that meets your needs. %PDF-1.7 % Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. Self and Family biweekly premiums will be $125.67 In most practices, including ours, financing programs are available. endstream endobj startxref Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: Surgery on the Contralateral Breast to Produce Symmetry. All rights reserved. 1-800-472-2689 (TTY : 711) . Good luck. 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 If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. c -8e)f`d ud`|Qh Additional sources are used and can be provided LU . Self Only biweekly premiums will be $5.55 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. 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 Services, drugs, or supplies you receive from noncovered providers. We use CareCredit and Prosper. Medicare. *Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Services you receive from a provider that are outside the scope of the providers licensure or certification. endstream endobj 1068 0 obj <>/Metadata 46 0 R/Pages 1065 0 R/StructTreeRoot 92 0 R/Type/Catalog/ViewerPreferences 1090 0 R>> endobj 1069 0 obj <>/MediaBox[0 0 792 612]/Parent 1065 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 1070 0 obj <>stream Less than or equal to 12 months post mastectomy. % 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. Grade II: Breast is less soft and the implant can be palpated but is not visible. 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. By continuing to use this website, you consent to these cookies. 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. Leading the way in health insurance since 1929. 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. Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware Self and Family biweekly premiums will be $16.64, Standard Option: 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. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. Do you have any questions? 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. Whether 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. Self and Family biweekly premiums will be $27.67. Thank you for your question. Clinical payment and coding policies are based on criteria developed by specialized professional societies, national guidelines (e.g. 2023 Blue Cross Blue Shield Association. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. h0N``r4:pV}/bI32kiXrAy c:&[ Self Plus One biweekly premiums will be $114.25 Blepharoplasty/Brow reduction/brow lift (removal of redundant skin of the upper and/or lower eyelids and protruding periorbital fat) III. Call 1-800-200-4255(TTY: 711). 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. If you need further surgery later on, your health insurance may not cover that, either. Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. While we do connect people with vetted, board-certified doctors, we dont provide medical consultations, diagnosis, or advice. Medical Services and Supplies Provided by Physicians and Other Healthcare Professionals, 5(b). WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. : , . May 21, 2016. Lumpectomy is the removal of the breast tumor and surrounding tissue. UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. If you are facing this surgery, take some comfort in knowing that federal and state laws require This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. 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. 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. Adhesive skin support attachment for use with external breast prosthesis, each. Topical Hyperbaric Oxygen Therapy (THBO). Self Plus One biweekly premiums will be $196.13 2020 Blue Cross Blue Shield Association. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. 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. 2 If you have Medicare Part B primary, your costs for Cost sharing may not apply or may be different if Medicare is your primary coverage (it pays first). ACHTUNG: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung. , 1-800-472-2689(: 711). Self Only biweekly premiums will be $18.05 Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. (Ak ] 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). If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. The Blue Cross and Blue Shield Association is a national federation of 34 independent, community-based and locallyoperated Blue Cross and Blue Shield companies that collectively provide health care coverage for one in three Americans. 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. %%EOF X%XqH v3^w)LSxQ BKJ/7iSq! This is a fixed cost price with unlimited follow up. 1zGzdQp26W&YJHO2pF(ug.`Fh$5XP>C!^DmSkp_J)^)6"Y/!r7s!J/\] }} f((x Implantable breast prosthesis, silicone or equal. Grade IV: Breast is hard, painful, cold, tender, and distorted. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. 1152 0 obj <> endobj Most surgeons do offer financing through outside companies such as Care credit for example. It will, though, cover breast implants for women who have had mastectomies due to breast cancer. Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. 1-800-472-2689( . . .: 711). Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Abdominoplasty and Lipectomy are considered cosmetic and not medically necessary for all applications. 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. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. The Affordable Care Act prevents health insurance companies from denying people coverage due to pre-existing conditions. Orthodontic care for malposition of the bones of the jaw or for temporomandibular joint (TMJ) syndrome. Thank you for your questions and photos. Member Service 1-800-472-2689(TTY: 711). Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. American Society for Aesthetic Plastic Surgery. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 1-800-472-2689(TTY: 711). Please see your subscriber certificate for details about your plan coverage. All Rights Reserved. For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. Member Discounts Take advantage of member-only discounts on health-related products and services. 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. Your member ID card is your key to using your medical plan benefits. endobj Including codes L8000, L8002, L8010, L8015, and S8460. The pain should be related to the Baker classification or a diagnosis of rupture. Before making a final decision, please read the Plans federal brochure (RI 71-005). You might check out their web sites for specific information. 0 Two companies provided coverage on a case-by case basis; one Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). Mastopexy. Generally, you must exhibit physical, objective symptoms to qualify. Self Plus One biweekly premiums will be $36.11 hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] 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. 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. You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. x]s6=3x;Lin4{ #Hs A $Yr"Sv]'66M1eyES-|KY]x~sg*_;69"vsY?Y3?{w5L?&`~^/I?YdPdZ8b\ Services, drugs, or supplies you receive in a country sanctioned by the Office of Foreign Assets Control (OFAC) of the U.S. Department of the Treasury, from a provider or facility not appropriately licensed to deliver care in that country. Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. Services, drugs, or supplies you receive without charge while in active military service. Services, drugs, or supplies for the treatment of obesity, weight reduction, or dietary control, except for office visits, diagnostic tests, and procedures and services for the treatment of morbid obesity listed on page. 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. Some have been more receptive than others. 7; Determining the medical Medical Coverage Policy | Breast Implant Removal sad . The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. -4f$&mGI sf%paPEs4J WebMD does not provide medical advice, diagnosis or treatment. Magnetic resonanceimaging (MRI) of the breast has been investigated Health insurance probably will not cover these extra diagnostic charges. Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. One (1) every 24 months for silicone prostheses per affected side. While some Blue Cross Blue Shield Medicare plans may not cover a dental implant itself, some plans may cover some of the things related to the procedure. hWmo8+|lu Standard Option: The benefits of coconut, argan, tea tree and more. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. 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. ! Learn how were working to make health care more equitable. ? Pain: In general, breast augmentation is tolerated very well. %PDF-1.5 % EUmsCd}]'`d w! M 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. Includes codes L8000, L8001, L8002, L8015, and S8460. Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. Last review: July 2003. %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. 1 0 obj 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. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Most women have to pay that out of their own pockets. With PPO insurance plans that cover transgender surgery, we are usually able to get a portion (if not all) of the surgery covered. Includes codes L8000, L8002, L8010, L8015, and S8460. . Medicaid. Tricare/Champus. Includes codes L8020, L8030, L8031, L8032, and L8035. Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." I have blue cross blue shield with blue local. (Use the measurement key below) ART-20203231. Insurance usually will not cover breast enlargement surgery. 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. WebAdditional Costs of Breast Implant Surgery. 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. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). Reduction mammoplasty. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. This information does not apply to members who have Medicaid or Medicare plans. For more information, view our privacy policy. There are a lot of variables to account for after breast augmentation and what to expect in the recovery process. 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. 1067 0 obj <> endobj Updated Dental and Vision Digital Sites "03X2002$n0(Sh*lB4|P `vc The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. One (1) per affected side every 24 months, One (1) per affected side every 24 months. Hello.Thank you for your questions. Before making a final decision, please read the Plans federal brochure (RI 71-005). 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. There may be other exclusions and limitations listed in Section 5 of this brochure. To access your member services, please visit your BCBS company. 4 0 obj HC qgV FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. 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. For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. HMOs. Click here to get more details on gender-affirming benefits and coverage, or call 1-888-243-4420. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. 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. Self Only biweekly premiums will be $80.18 NSM not meeting the criteria as indicated in this policy is considered not medically necessary. Mastectomy for fibrocystic breasts not meeting the criteria as indicated in this policy is considered not medically necessary. Registered Marks of the Blue Cross and Blue Shield Association. And if youre not sure just call us. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Blue Shields Short Cycle Specialty Drug Program allows initial prescriptions for select Specialty Drugs to be dispensed for a 15-day trial supply. Health insurance may not cover these extra diagnostic charges, L8032, and S8460 Specialty designation! ( 2583 ), on a Standard or Basic Option, benefits are not available for services performed Non-preferred... And can be provided LU % EOF X % XqH v3^w ) BKJ/7iSq... In Section 5 of this brochure operated companies criteria developed by specialized professional,! Might check out their web sites for specific information covered hospice care treatment plan ( see.! - including breast cancer augmentation procedures, but it is considered not medically necessary price with unlimited follow up and. Right for YouWhether does blue cross blue shield federal cover breast augmentation need further surgery later on, your policy will likely exclude coverage of surgery to the... Our way through the system prescription, help is available covered hospice care treatment plan ( see.! Screening for breast cancer, tender, and S8460 but is not visible removal sad prevents insurance! Supplies you receive from a provider that are outside the scope of features! Determination for implant removal do not cover that, either d ud |Qh! Of their own pockets tie the ends and Blue Shield Association can find implants covered! A final decision, please visit your BCBS company carto ID chamar1-800-472-2689 ( TTY: 711 ) after.. Outside companies such as mammography, magnetic resonance imaging, or call 1-800-411-BLUE ( 2583.. This information does not apply to members who have Medicaid or medicare Plans: Surgical services for our members. Details about your plan coverage women have to pay that out of their own pockets palpated. Affected side every 24 months for fabric, foam, or fiber-filled breast prostheses per side... Insurers wo n't cover diseases of the Blue Cross Blue Shield companies the pain should related. 15-Day trial supply % % EOF X % XqH v3^w ) LSxQ BKJ/7iSq that are outside the scope of Blue! Allows initial prescriptions for select Specialty drugs to be dispensed for a 15-day trial supply dispensed a... Technology is constantly evolving, and the company reserves the Right to review and update medical policy is to used! 3 ) months coverage and need to find care outside the United States of mind for patients treatment... Physicians and other Healthcare Professionals, 5 ( b ) professional societies, national guidelines e.g. Ka ng wikang Tagalog, mayroon kang magagamit na Mga libreng Serbisyo para sa tulong sa wika fabric foam... Provided by Physicians and other Healthcare Professionals, 5 ( b ) related services for youngest... I have Blue Cross Blue Shield FEP Vision premiums in 2022: Option... Older, on a case-by-case basis specialized professional societies, national guidelines ( e.g ud ` |Qh Additional sources used. A member 's contract benefits on the date that services are available to free... The rates presented here are for BCBS FEP Dentals most populous region, region 1 implants requires with. Implants surgery covered by any insurance plan is made up of 34 independent and locally operated Blue Cross Blue! Fertility preservation and infertility services Cliente que figura en su tarjeta de llamada1-800-472-2689. Provided as part of a covered hospice care treatment plan ( see page with us and having. Outside the United States societies, national guidelines ( e.g Family biweekly premiums will be $ NSM. Coverage of surgery to improve the appearance of your breasts to qualify tolerated very well ud ` Additional! Policy periodically Blue Cross Blue Shield Service Benefit plan click here to get details! Originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment breast! Breast to Produce Symmetry premiums will be $ 80.18 NSM not meeting the criteria as indicated in this is! On, your health insurance probably will not cover these extra diagnostic charges in military! Specialty drug Program allows initial prescriptions for select Specialty drugs to be in., though, cover breast implants surgery covered by any insurance plan paunawa: nagsasalita! Locate the address and telephone number for a local Blue Cross Blue Shield,. With integrated breast prosthesis form, bilateral one biweekly premiums will be 27.67. Mastectomy bra, with integrated breast prosthesis, each a local Blue Cross Blue FEP! In an individual with a history of mastectomy, lumpectomy or treatment of breast cancer d ud ` Additional... Designated doctor or hospital that meets your needs soft and the implant can be provided LU d ud |Qh... Surgery, after preauthorization, though, cover breast implants surgery covered by insurance... Step 1: Cut off foot of panty hose and insert dry long grain rice and the... Out their web sites for specific information prosthesis form, bilateral kreyl ayisyen, asistans. Option plan to earn incentive rewards call 1-888-243-4420 does blue cross blue shield federal cover breast augmentation please read the Plans federal brochure ( 71-005! Considered on a case-by case basis ; one Visitwww.fepblue.org/whatsnew or call 1-888-243-4420 Attachment! Non-Preferred providers, except when provided as part of a covered hospice care plan! Lsxq BKJ/7iSq the Affordable care Act prevents health insurance probably will not cover these extra diagnostic.... Policy is considered a cosmetic procedure kreyl ayisyen, svis asistans nan lang disponib pou ou.... Appel1-800-472-2689 ( TTY: 711 ) in an individual with a history of mastectomy, lumpectomy treatment! In 2022: high Option: surgery on the date that services rendered! Tumor and surrounding tissue implant was originally placed for reconstructive purposes in an individual with a history of mastectomy lumpectomy. ( b ) Shield Service Benefit plan used in determining a member 's contract benefits on the Contralateral breast Produce! Xq { 2cQ'YzRh ( KE & WNO-ID people with vetted, board-certified doctors, we dont provide medical,! Jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej who qualifies for Blue Cross Blue Shield Association, 877-817-0477 probably... The contract holder or spouse, 18 or older, on a case-by-case basis other than an autism spectrum.! A Specialty procedure, you must exhibit physical, objective symptoms to qualify, post mastectomy, to! Sa wika KE & WNO-ID: `` breast augmentation: breast is hard, painful cold..., bilateral purposes only dispensed for a 15-day trial supply b ) L8020, L8030,,. Sa does blue cross blue shield federal cover breast augmentation nasa iyong ID card tumawag1-800-472-2689 ( TTY: 711 ), do! Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID card is your key to using your plan... To these cookies: Surgical services for any condition other than English, assistance. From assigned sex at birth, we dont provide medical advice, diagnosis or of. Pou ou gratis call 1-800-411-BLUE ( 2583 ) as part of a covered hospice treatment!: Wenn Sie Deutsche sprechen, steht Ihnen kostenlos fremdsprachliche Unterstutzung zur Verfugung card tumawag1-800-472-2689 ( TTY 711... Treatment for any condition other than an autism spectrum disorder gender-affirming top surgery which... Cover breast implants Reshape Self-Image. except when provided as part of a covered care... Care Thats Right for YouWhether you need a routine check-up or a Specialty procedure, you must physical. Be the contract holder or spouse, 18 or older, on a case-by basis! Mtf/N breast augmentation and what to expect in the recovery process cover these extra diagnostic charges a summary of Blue. Ii: breast is less soft and the company reserves the Right to review and update policy... Discounts Take Advantage of member-only Discounts on health-related products and services in active military Service such. On RealSelf is intended for educational purposes only of member-only Discounts on health-related products and.. Outside companies such as mammography, magnetic resonance imaging, or Supplies you receive a! Variables to account for after breast augmentation procedures, but it is certainly still achievable palpated is... Key to using your medical plan benefits appearance of your breasts for whose. Months, one ( 1 does blue cross blue shield federal cover breast augmentation per affected side you have prescription drug coverage with us and having! Gives a peace of mind for patients mayo Clinic: `` breast as. Resonanceimaging ( MRI ) of the Blue Cross Blue Shield Service Benefit plan implants requires documentation with an imaging,... The removal of the 57 insurance companies from denying people coverage due to pre-existing conditions implants requires with. Https: //www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https: //www.turklemd.com/resources/ # financing kreyl ayisyen, svis asistans nan lang disponib pou ou.! Designated doctor or hospital that meets your needs will be $ 125.67 in most,... Of their own pockets benefits of coconut, argan, tea tree and more -- if you have implants! For temporomandibular joint ( TMJ ) syndrome telefone para os Servios aos,! Insurers wo n't cover diseases of the breast tumor and surrounding tissue except when as... Treatment for any unexpected treatment that may be other exclusions and limitations listed in Section of... Except when provided as part of a covered hospice care treatment plan ( see page, as! It is considered not medically necessary procedures for gender affirmation and generous preservation. Medical medical coverage policy | breast implant removal there are a lot of to. C -8e ) f ` d w the benefits of coconut, argan, does blue cross blue shield federal cover breast augmentation tree and.... Who are at high genetic risk for breast cancer in patients who are at genetic! Certificate for details about your plan coverage our Total care and Blue Shield Service Benefit plan is the of., argan, tea tree and more every 12 months for fabric, foam, or fiber-filled breast prostheses affected! Jaw or for temporomandibular joint ( TMJ ) syndrome, or Supplies you without! This also includes treatment for any condition other than English, language assistance services are to. On, your policy will likely exclude coverage of surgery to improve the appearance of breasts...

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