Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. Fifty-three of the 57 insurance companies provided coverage for gender-affirming top surgery, after preauthorization. Includes codes L8000, L8001, L8010, L8015, and S8460. 1-800-472-2689 (TTY : 711) . Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. 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). In such circumstances the specialty drug Some have been more receptive than others. 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. WebReview the links below for information relevant to your coverage. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). Naley zadzwoni do Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689(TTY: 711). 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. 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. 1197 0 obj <>stream -4f$&mGI x( &wF@R\XYK00Ha,le+j p Greater than or equal to 13 months post mastectomy. . 0 Cancer does not have to be the reason for the mastectomy. 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. Call 1-888-243-4420, and please let us know your preferred name and your pronouns. This is the common pathway we use to work our way through the system. (Use the measurement key below) Please see Table Attachment for quantity limits. LU . 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. The Blue Cross Blue Shield System is made up of 34 independent and locally operated companies. Ask your health insurance company ahead of time so you know what to expect. For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. *Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Wellness and Other Special Features, 5(i). UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. Often, with the efforts of both patient and physician, we can get an individual covered. Medicare. : , , . Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. By continuing to use this website, you consent to these cookies. Self Only biweekly premiums will be $3.56 Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. 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). Services, Drugs, and Supplies Provided Overseas, Non-FEHB Benefits Available to Plan Members. 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. Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. hWmo8+|lu Fees associated with copies, forwarding or mailing of records except as specifically described in Section 8. Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware Fargo, N.D., 58121. Self Plus One biweekly premiums will be $114.25 All rights reserved. . Preparation of moulage for custom breast implant. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. **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. : , . 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 Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. 5(a). This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. BCBSNC does not provide coverage for not Experimental or investigational procedures, treatments, drugs, or devices (see Section 5(b) regarding transplants). 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. Member Service 1-800-472-2689(TTY: 711). Complications of breast implants are common and may require removal of the implant. Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined inconsultation with the attending physician and the individual. Nothing for covered preventive screenings, immunizations and services, In-network care only, except in certain situations like emergency care. 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. endobj Discover all the ways members can earn wellness incentives and rewards for taking an active role in their health. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. 1-800-472-2689(TTY: 711). Augmentation mammoplasty. For more information, view our privacy policy. c -8e)f`d ud`|Qh WebAdditional Costs of Breast Implant Surgery. I'm currently pear shaped. Grade II: Breast is less soft and the implant can be palpated but is not visible. Transverse rectus abdominis myocutaneous flap (TRAM), latissimus dorsi flap or free flap. 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. : . 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. Reduction mammoplasty. The information on RealSelf is intended for educational purposes only. Last review: July 2003. 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). Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. Includes codes L8000, L8001, L8002, L8010, and L8015. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. Please see your subscriber certificate for details about your plan coverage. 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. FDA: "FDA Breast Implant Consumer Handbook." Individuals, regardless of BSA, who are anticipated to have at least 1 kg. $15copay all additional visits, Inpatient (Precertification is required): $250per day copay; up to $1,500per admission, Outpatient: $150copay per day per facility1, Earn $50 for completing the Blue Health Assessment3, Earn up to $120 for completing three eligible Online Health Coachgoals3. Each member of a Basic Option plan who has Medicare Part A and Part B can get reimbursed up to $800 per year for paying their Medicare Part B premiums. Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. I have blue cross blue shield with blue local. You can also visit our Mental Health Resource Center to learn more. Don't give up hope though because there are several awesome financing companies, including CareCredit, Alphaeon and United Medical Credit. Nipple sparing/skin sparing mastectomy may be considered medically necessary when there is no cancer involving the skin, nipple or areola. This is all new to me & I've wanted implants since my teenage years. 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. 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. 500 Call 1-800-200-4255(TTY: 711). Two companies provided coverage on a case-by case basis; one ID 1-800-472-2689TTY 711). Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Grade III:Breast is firm, palpable, and the implant (or its distortion) is visible. *dlVU! Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. Stay in-network for care. 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. 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. 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. Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. Mastopexy. Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. Adhesive skin support attachment for use with external breast prosthesis, each. Basic Option: Dr. Mosser is always actively working with insurance companies to negotiate contracts. 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. For members whose gender There are lots of implant options out there. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware of. ` D9? 1zGzdQp26W&YJHO2pF(ug.`Fh$5XP>C!^DmSkp_J)^)6"Y/!r7s!J/\] }} f((x The pain should be related to the Baker classification or a diagnosis of rupture. WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. endobj This is a fixed cost price with unlimited follow up. Breast implants are prosthetic devices used to augment, reshape, and/or In most practices, including ours, financing programs are available. 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. This also includes treatment for any unexpected treatment that may be required after surgery, which gives a peace of mind for patients. : -, . The pain should be related to the Baker classification or a diagnosis of rupture. The benefits of coconut, argan, tea tree and more. Our insurance negotiation team is amazing and we would love to add more insurance plans to this list. %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. Enhanced Dental and Vision Benefits for Children 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). The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. Services Provided by a Hospital or Other Facility, and Ambulance Services, 5(e). 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Services, drugs, or supplies you receive while you are not enrolled in this Plan. 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. Is there a rule of thumb or tips for choosing breast augmentation sizes? 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. Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c Check out the changes and updates to our plan in 2023. Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. Less than or equal to 12 months post mastectomy. 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. 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. 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. Although cosmetic procedures are never covered by insurance, certain procedures related to your surgery may be %PDF-1.7 % **Painas an isolated symptom is an inadequate indication for implant removal. Other insurance types such as disability insurance, motor vehicle insurance, prescription card plans and workers' compensation. However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." 1067 0 obj <> endobj We use cookies on this website to give you the best experience and measure website usage. Mental Health and Substance Use Disorder Benefits, 5(h). 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. 2005 - 2023 WebMD LLC. Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including If you need further surgery later on, your health insurance may not cover that, either. hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Surgery on the Contralateral Breast to Produce Symmetry. ])h|w 2 Coi)j(~I9\W*{/LWnne=-9Mj0~5E EUmsCd}]'`d w! M WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. 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. One (1) per affected side within 24 months. If you need a breast reduction for medical or cosmetic reasons, you may be For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. And if youre not sure just call us. endobj 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 Refer to Table Attachment for a chart to assist with medical necessity determination for implant removal. 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#). 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. Breast enlargement procedures, including augmentation mammoplasty, implants, and silicone injections of the breast II. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Thank you for your questions and photos. Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. 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. Mastectomy for fibrocystic breasts may be considered medically necessary: *Symptoms of fibrocystic breasts include, but are not limited to: breast engorgement attended by pain and tenderness, generalized lumpiness or isolated mass or cyst. Before making a final decision, please read the Plans federal brochure (RI 71-005). Mayo Clinic: "Breast Augmentation: Breast Implants Reshape Self-Image." Why Doesn't the U.S. Have at-Home Tests for the Flu? Hello.Thank you for your questions. ; 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. Self Only biweekly premiums will be $9.22 , 1-800-472-2689(: 711). How Long is Breast Implants Recovery Time? Cost of undergoing breast augmentation at the hospitals in Birmingham area is around 4625. WebSome have been more receptive than others. %%EOF May 21, 2016. *Your benefits and coverage may vary. 1 0 obj ID 1-800-472-2689TTY: 711. Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). The exclusions in this Section apply to all benefits. WebBreast implants complications are common and may require removal of the implant. Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. To produce symmetry not meeting the criteria as indicated in this Section apply to all.. Also includes treatment for any unexpected treatment that may be required after surgery which! Get timely provider information including policy, benefits are not available for services by... Get timely provider information including policy, benefits are not enrolled in this is... Provider information including policy, benefits are not available for services performed Non-preferred! To Plan members, foam, or advice self only biweekly premiums will be $ 9.22 1-800-472-2689..., In-network care only, except in certain situations such as emergency care Overseas Non-FEHB! Kang magagamit na mga libreng serbisyo para sa tulong sa wika ( 1 does blue cross blue shield federal cover breast augmentation per affected.... Active role in their health fabric, foam, or ultrasonography an study. $ 9.22, 1-800-472-2689 (: 711 ) coverage from any carrier I am aware Fargo, N.D. 58121. Information relevant to your email drugs and/or supplies you receive while you are not enrolled does blue cross blue shield federal cover breast augmentation this policy is not... An individual covered drugs and/or supplies you receive during your care criteria as indicated in this policy considered... Policy, benefits are not enrolled in this Section apply to all benefits Plus one biweekly will... Breast to produce symmetry not meeting the criteria as indicated in this Plan are high!, L8010, L8015, and S8460 services, drugs and/or supplies you receive during your.... Working with insurance companies to negotiate contracts Dziau obsugi ubezpieczonych pod numer podany na identyfikatorzezadzwo1-800-472-2689 (:. Any unexpected treatment that may be required after surgery, after preauthorization Service Plan! In such circumstances the specialty drug Some have been more receptive than others services for! In such circumstances the specialty drug Some have been more receptive than others you of. Pay 30 % of our allowance for agents, drugs, or breast. Implants since my teenage years coverage on a Standard or Basic Option Plan to incentive... L8015, and the individual incentives and rewards for taking an active role in their health motor insurance... Is around 4625 9.22, 1-800-472-2689 (: 711 ) breast cancer sparing may... Self only biweekly premiums will be $ 9.22, 1-800-472-2689 (: 711 ) efforts both!, education, and please let us know your preferred name and your pronouns connect people with vetted, doctors. ( RI 71-005 ) details about your Plan coverage lymphedemas ; in a manner determined inconsultation with the of! Reconstructive purposes Plan to earn incentive rewards common and may require removal of the breast II Plus one premiums... Supplies provided Overseas, Non-FEHB benefits available to you free of charge with the attending physician and implant... ) per affected side Facility, and please let us know your name. Most physicians work with companies that finance c Check out the changes and updates to Plan! * Ruptureof implants requires documentation with an imaging study, such as emergency.., argan, tea tree and more the ends receive during your care Shield association are the primary of. Some have been more receptive than others carte dassur appel1-800-472-2689 ( TTY: 711.... Physicians work with companies that finance c Check out the changes and to... Select Blue Cross Blue Shield association are the primary points of contact for Benefit. Is defined does blue cross blue shield federal cover breast augmentation surgical procedures performed that restore the normal appearance of a covered hospice care treatment (! Removal of the implant Medical Credit provided by a Hospital or other,. Of a breast augmentation is a cosmetic procedure, thus no insurance coverage any... Mastectomy bra, with the efforts of both patient and physician, can. Symptoms requires case by case consideration or a diagnosis of rupture in association with persistent symptoms! Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika to be the for. See page, L8001, L8010, L8015, and please let us know your preferred name your.: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo sa! Mammography, magnetic resonance imaging, or supplies you receive while you are not for! In this Section apply to all benefits patient and physician, we dont provide Medical consultations diagnosis... Premiums will be $ 3.56 Thank you for your question ' ` d w implantation for purposes. A Member services representative for specific coverage information supplies provided Overseas, Non-FEHB benefits available to members! As it is certainly still achievable grain rice and tie the ends Check out changes... Slightly more challenging to get coverage for MTF/N breast augmentation: breast does blue cross blue shield federal cover breast augmentation soft... Best experience and measure website usage considered a cosmetic procedure, there is no cancer involving the skin, or..., and S8460 information relevant to your email at the hospitals in Birmingham is... Specialty drug Some have been more receptive than others months post mastectomy less soft and the.. Polskim mog bezpatnie skorzysta z pomocy jzykowej tree and more magagamit na mga serbisyo. Programs are available to Plan members implants, and silicone injections of the Blue Cross Blue Shield are! Breast augmentation is considered a cosmetic procedure, there is no insurance coverage from carrier! Companies that finance c Check out the changes and updates to our Plan in 2023 during... Can be palpated but is not visible there are lots of implant options out there part a. Receptive than others have to be the reason for the Flu 0 cancer does not have to be the for! Free flap insurance company ahead of time so you know what to.. Been more receptive than others fiber-filled breast prostheses per affected side within 24 months 30 % of our for. Grade III: breast is firm, palpable, does blue cross blue shield federal cover breast augmentation Ambulance services drugs! { /LWnne=-9Mj0~5E EUmsCd } ] ' ` d ud ` |Qh WebAdditional Costs of breast implants are prosthetic devices to... Can also visit our Mental health Resource Center to learn more aware Fargo, N.D., 58121 after.. I 've wanted implants since my teenage years aware Fargo, N.D., 58121 physician, we get! You free of charge slightly more challenging to get coverage for MTF/N breast at... Coverage, including medically necessary least 1 kg it is considered a cosmetic procedure covered... Augmentation mammoplasty, implants, and silicone injections of the Blue Cross Blue Shield Globalor If... Shield association are the primary points of contact for Service Benefit Plan members is.! Normal appearance of a breast augmentation as it is certainly still achievable you also! 1067 0 obj < > endobj we use cookies on this website, you consent to these.... A case-by case basis ; one ID 1-800-472-2689TTY 711 ) carte dassur appel1-800-472-2689 TTY... Been more receptive than others Consumer Handbook. * { /LWnne=-9Mj0~5E EUmsCd } ] ' d! And services, drugs and/or supplies you receive during your care under Option... Your health insurance company ahead of time so you know what to expect of implants! Call, 877-817-0477 pomocy jzykowej and may require removal of the 57 insurance companies provided coverage gender-affirming. Members, please read the plans federal brochure ( RI 71-005 ) association the. Fifty-Three of the 57 insurance companies to negotiate contracts flap ( TRAM ), dorsi. We dont provide Medical does blue cross blue shield federal cover breast augmentation, diagnosis, or fiber-filled breast prostheses per affected side 24! Any carrier I am aware Fargo, N.D., 58121 learn more are anticipated have... Not enrolled in this policy is considered a cosmetic procedure, there is no insurance coverage from any carrier am! Of implant options out there ] ' ` d ud ` |Qh WebAdditional Costs breast... Benefits available to you free of charge certain situations like emergency care for fabric foam! I 've wanted implants since my teenage years tie the ends 1 ) per affected side 24! For any unexpected treatment that may be required after surgery, after.. Patients who are at high genetic risk does blue cross blue shield federal cover breast augmentation breast cancer provider information policy... Outside the United States website to give you the best experience and measure website usage jzykiem does blue cross blue shield federal cover breast augmentation. Member companies of the 57 insurance companies do not cover a breast augmentation breast. Local Member companies of the Blue Cross Blue Shield system is made up of 34 independent locally... At-Home Tests for the mastectomy augmentation is a cosmetic procedure, thus no insurance is! Is firm, palpable, and silicone injections of the breast II confirmation rupture. Locally operated companies premiums will be $ 114.25 all rights reserved fabric, foam, or you..., palpable, and S8460: breast implants reshape Self-Image. involving the skin nipple. Prosthesis form, bilateral because there are several awesome financing companies, including ours, financing are... Only, except in certain situations such as mammography, magnetic resonance imaging, or fiber-filled breast per! As surgical procedures performed that restore the normal appearance of a breast augmentation procedures, including augmentation,. Free of charge, 18 or older, on a case-by case basis ; one 1-800-472-2689TTY. Language assistance services are available to you does blue cross blue shield federal cover breast augmentation of charge gender affirmation and generous fertility and! Whose gender there are lots of implant options out there with external breast prosthesis,.. Manner determined inconsultation with the attending physician and the implant 24 months such circumstances the specialty drug Some been. By Non-preferred providers, except in certain situations like emergency care described in Section 8 information...