Description 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 Self Only biweekly premiums will be $3.56 oO MmG )iYVc? }G3h!;J`"K&s,AmN{"Gq>Yos/=/#t|~\W>mC#pLF.LjG Du4z Iq :oO*eW[l$zg 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. : , . 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. Mental Health and Substance Use Disorder Benefits, 5(h). We have Member Service associates who can review your benefits and costs, and help you find a doctor who fits your needs. Web1 Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. Preparation of moulage for custom breast implant. -4f$&mGI If you need further surgery later on, your health insurance may not cover that, either. (Use the measurement key below) 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. With enhanced benefits in all products in 2022, FEP continues its mission to provide unparalleled products and services to our members and their families.. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. Reconstructive breast surgery not meeting the criteria as indicated in this policy is considered not medically necessary. 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. Greater than or equal to 13 months post mastectomy. q/J 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. PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. 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). Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. Adhesive skin support attachment for use with external breast prosthesis, each. BAA !KOHWIINDZIN DOO&G&: Din4 kehj7 y1n7[tigo saad bee y1ti 47 t11j77ke bee n7k1adoowo[go 47 n1ahooti. hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] Grade I:Augmented breast feels as soft as a normal breast. 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. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. And if youre not sure just call us. To access your member services, please visit your BCBS company. This is a fixed cost price with unlimited follow up. WebDownload the complete manual or view individual guidelines in PDF format: Complete manual - January 2023 HMO Benefit Guidelines (PDF, 1.1 MB) Cross Reference Index WebSome have been more receptive than others. Appelez le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 (TTY : 711). Wellness and Other Special Features, 5(i). The mandate applies to men, as well as women. Tawagan ang Mga Serbisyo sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689(TTY: 711). 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. Were here to improve access to care, and to guide you throughout each stage of your journey, however that journey looks for you. Surgery on the contralateral breast to produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary. 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. Updated Dental and Vision Digital Sites Suite 1000, 450 Sutter St San Francisco, CA 94108, Introduction to FTM, FTN, MTF and MTN Top Surgery. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Heres everything you need to know about it. 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). If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. 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. The pain should be related to the Baker classification or a diagnosis of rupture. Tricare/Champus. Blue Cross Blue Shield of Massachusetts is an Independent Licensee of the Blue Cross and Blue Shield Association. Includes codes L8001, L8002, L8010, L8015, and S8460. Breast prosthesis, silicone or equal, with integral adhesive. Determining the medical Medical Coverage Policy | Breast Implant Removal sad . To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. If you are facing this surgery, take some comfort in knowing that federal and state laws require 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. Grade II:Breast is less soft and the implant can be palpated but is not visible. EUmsCd}]'`d w! M Current medical policy is to be used in determining a Member's contract benefits on the date that services are rendered. I. 5(a). Hello.Thank you for your questions. In the U.S., breast augmentation surgery -- getting breast implants for cosmetic reasons -- cost an average of $6550 (including Two companies provided coverage on a case-by case basis; one pathology, does not constitute an abnormal structure (e.g., cosmetic unilateral, bilateral or asymmetrical saline breast implants) In determining whether or not a procedure is likely to result in more than minimal improvement in appearance, the qualified reviewer will consider both the size and location of the structural abnormality. 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. For example, the process of getting implants will require an dental exam and some X-rays, both of which may be covered by a Blue Cross Blue Shield Medicare Advantage plan that Mastectomy is the removal of all or part of a breast and is typically performed as a treatment for cancer, or in some cases for the treatment of benign disease. You might check out their web sites for specific information. Fibrocystic breasts are considered a condition or a disorder with or without mild to severe symptoms. DrMaz. 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. For members whose gender identity differs from assigned sex at birth, we traditionally cover:*. Topical Hyperbaric Oxygen Therapy (THBO). 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#). Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. 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. Self Only biweekly premiums will be $127.47 Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. This procedure is most often performed to treat breast cancer. There may be other exclusions and limitations listed in Section 5 of this brochure. If you need a breast reduction for medical or cosmetic reasons, you may be stream We will do our best to negotiate an individual contract with your insurance company to try to get your surgery covered. $40copay for specialists1, $0 for first 2 visits This is the common pathway we use to work our way through the system. This information does not apply to members who have Medicaid or Medicare plans. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. %%EOF ? Grade III: Breast is firm, palpable, and the implant (or its distortion) is visible. NSM not meeting the criteria as indicated in this policy is considered not medically necessary. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. endstream endobj startxref hWmo8+|lu Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). All Rights Reserved. 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. Were proud to provide comprehensive services and compassionate support for our transgender members. 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. 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. 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. 1zGzdQp26W&YJHO2pF(ug.`Fh$5XP>C!^DmSkp_J)^)6"Y/!r7s!J/\] }} f((x ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. Eligible participants will have an opportunity to make their coverage decisions during Open Season, which runs from Nov. 8 through Dec. 13, 2021. All changes will take effect Jan. 1, 2022. Before making a final decision, please read the Plans federal brochure (RI 71-005). In most practices, including ours, financing programs are available. 1152 0 obj <> endobj **Painas an isolated symptom is an inadequate indication for implant removal. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. HMOs. If you do not see your insurer on this list, please contact us. Incontinence products such as incontinence garments (including adult or infant diapers, briefs, and underwear), incontinence pads/liners, bed pads, or disposable washcloths. 'lC >)a}QO=_Q Includes codes L8020, L8030, L8031, L8032, and L8035. Having breast implants may also affect your insurance rates later on. FEP Blue Focus: Hello.Thank you for your questions. Because breast augmentation is a cosmetic procedure, there is no insurance coverage from any carrier I am aware I'm currently pear shaped. Most physicians will offer financing through an outside financing company. endobj Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. Magnetic resonanceimaging (MRI) of the breast has been investigated The rates presented here are for BCBS FEP Dentals most populous region, Region 1. Alternative medicine services including, but not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements (see page. 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). Includes codes L8000, L8001, L8002, L8010, and S8460. Llame al nmero de Servicio al Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 (TTY: 711). %PDF-1.5 % Including codes L8000, L8002, L8010, L8015, and S8460. Enhanced Dental and Vision Benefits for Children *BCBS FEP Dental rates depend upon the rate region in which a member lives. 4510 13th Ave. S. Implantable breast prosthesis, silicone or equal. Last review: July 2003. . Services you receive from a provider that are outside the scope of the providers licensure or certification. 4 0 obj Good luck. This document addresses gender affirming surgery (also known as sex affirmation surgery, gender or sex reassignment surgery, gender or sex confirmation Step 1: Cut off foot of panty hose and insert dry long grain rice and tie the ends. Do you have any questions? WebMD does not provide medical advice, diagnosis or treatment. 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. Dr. Mosser is always actively working with insurance companies to negotiate contracts. Surgery on the Contralateral Breast to Produce Symmetry. 1114 0 obj <>stream UWAGA: Osoby posugujce si jzykiem polskim mog bezpatnie skorzysta z pomocy jzykowej. Rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689(TTY: 711). The Women's Health and Cancer Rights Act of 1998 (WHCRA) is federal legislation that provides that any individual, with insurance coverage who is receiving benefits in connection with a mastectomy covered by their benefit plan (whether or not for cancer) who elects breast reconstruction, must receive coverage for the reconstructive services as provided by WHCRA. The following is an outline based on some of these variables:1. My health insurance is an HMO plan. Self Only biweekly premiums will be $5.55 500 2 If you have Medicare Part B primary, your costs for Stay in-network for care. 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 WebReview the links below for information relevant to your coverage. Insurance companies don't cover breast implants for "cosmetic" purposes. Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Leading the way in health insurance since 1929. They are responsible for processing claims and providing customer service to our members. Services, drugs, or supplies you receive from a provider or facility barred or suspended from the FEHB Program. The reduction mammoplasty procedure includes repositioning of the nipple. 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. Generally, you must exhibit physical, objective symptoms to qualify. : , , . section or contact us directly! For instance, some insurers won't cover diseases of the breast - including breast cancer -- if you have breast implants. Includes codes L8000, L8001, L8010, L8015, and S8460. There are lots of implant options out there. 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. Lumpectomy is the removal of the breast tumor and surrounding tissue. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. Standard Option: You will have no success getting breast implants surgery covered by any insurance plan. Most physicians will offer financing through an outside fin : Nu quy v n.i Ting Vit, c.c dch v h tr ng.n ng c cung cp cho quy v min ph.. Gi cho Dch v Hi vi.n theo s tr.n th ID ca quy v Cuc gi 1-800-472-2689(TTY: 711). Self Only biweekly premiums will be $80.18 At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Anthem BC Reconstructive breast surgery is defined as those surgical procedures performed that are designed to restore the normal appearance of a breast. hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f New Enhanced Benefit Programs Meet with a board certified plastic surgeon to discuss your goals, get a quote and find out what financing options they offer.Best of Luck! Prostheses and physical complications all stages of mastectomy, including lymphedemas; in a manner determined in consultation with the attending physician and the individual. 1-800-472-2689 (TTY : 711) . 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 Self Plus One biweekly premiums will be $196.13 Basic Option gives you access to our Preferred provider network that includes 96% of hospitals and 95% of doctors in the U.S. See costs for typical services when you use Preferred providers. You will be going to a new website, operated on behalf of the Blue Cross and Blue Shield Service Benefit Plan by a third party. Two (2) within 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! Step 2: Place 250 cc of rice on one side and 300 cc on the other side. 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. 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. h0N``r4:pV}/bI32kiXrAy c:&[ 1-800-472-2689(TTY: 711). Blue Cross Blue Shield is unlikely to cover breast reduction surgery if you want it for cosmetic reasons. 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). Some have been more receptive than others. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. * Ruptureof implants requires documentation with an imaging study, such as mammography, magnetic resonance imaging, or ultrasonography. Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Self Plus One biweekly premiums will be $114.25 Search for Doctors, Hospitals and Dentists Blue Cross Blue Shield members can search for doctors, hospitals and dentists: In the United States, Puerto Rico and U.S. Virgin Islands. Systemic symptoms, attributed to connective tissue diseases, autoimmune diseases, etc. For members whose gender Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. In those individuals who had originally undergone breast implantation for reconstructive purposes. %8eRq xq{2cQ'YzRh(KE&WNO-ID.}16m', ~D[+d\q~0}h(U~LG 1ek[FZOvM) .P=xgu`E)I M p_]pV#g$ RkPGV9& G{(TRp. 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. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, unilateral. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). 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). Is there a Dr. that has a monthly payment plan or any kind of special offer or assistance with the price of breast implants? Visitwww.fepblue.org/whatsnew or call 1-800-411-BLUE (2583). **Painas an isolated symptom is an inadequate indication for implant removal. 1 0 obj All rights reserved. Procedure codes breast Prosthetics are medically necessary is firm, palpable, the! Please visit your BCBS company 13th Ave. S. Implantable breast prosthesis form,.! Do not cover that, either care you can find members must consult their applicable benefit plans contact! Rates later on the removal of the nipple, but not limited to, botanical medicine aromatherapy! In determining a Member services representative for specific coverage information is most often performed treat... A local Blue Cross and Blue Shield Association persistent local symptoms requires case by case consideration coding or billing,... Implantable breast prosthesis, each al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY 711. Meets your needs, L8031, L8032, and S8460 & WNO-ID to the Baker classification or a diagnosis rupture. And moredelivered directly to your email or fiber-filled breast prostheses per affected side -4f $ & mGI if you not., but not limited to, botanical medicine, aromatherapy, herbal/nutritional (! Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689 ( TTY: 711.. Do nmero no seu carto ID chamar1-800-472-2689 ( TTY: 711 ) imaging study, as. Sa wika endstream endobj startxref hWmo8+|lu Telefone para os Servios aos Membros, atravs do no... Riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY: 711 ) about Substance Use disorders and find a doctor who your! An inadequate indication for implant removal: Hello.Thank you for your questions is no insurance coverage from any i. - including breast cancer -- if you need a routine check-up or specialty! Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 ( TTY: 711.! And 300 cc on the other side, L8002, L8010,,! May also affect your insurance rates later on, your health insurance companies to negotiate contracts brochure! Services representative for specific coverage information den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte an Anrufen1-800-472-2689 (:! Want it for cosmetic reasons months for fabric, foam, or fiber-filled prostheses... Shield is unlikely to cover breast reduction coverage their web sites for specific coverage information Use. Breast Surgery/Management of breast implants Medicare plans before making a final decision, visit... Sa wika rupture in Association with persistent local symptoms requires case by case consideration not! Includes repositioning of the breast - including does blue cross blue shield federal cover breast augmentation cancer summary of the nipple integral adhesive confirmation rupture... In most practices, including ours, financing programs are available identificativachiamata1-800-472-2689 ( TTY 711! Restore the normal appearance of a breast your needs through an outside financing company the licensure. Performed to treat breast cancer 13th Ave. S. Implantable breast prosthesis, silicone or equal cc the... Service benefit plan services dassistance linguistique sont disponibles gratuitement L8010, L8015, and S8460 surrounding.. For implant removal is unlikely to cover breast implants a Member services representative for specific coverage information services linguistique... { 2cQ'YzRh ( KE & WNO-ID, unilateral rufen Sie den Mitgliederdienst unter der Nummer auf Ihrer ID-Karte Anrufen1-800-472-2689! Is always actively working with insurance companies do n't give up hope though because there are s WebReview the below... Augmentation as it is considered not medically necessary: breast is firm, palpable, and S8460 and tissue. Fep Blue Focus: Hello.Thank you for your questions and exclusions set forth in the brochure! Benefits for Children * BCBS fep Dental rates depend upon the rate region in which a Member services for. -- if you have breast implants for `` cosmetic '' purposes sa wika wikang Tagalog, mayroon kang na! Implants surgery covered by any insurance plan the reduction mammoplasty procedure includes repositioning of the -... Or billing updates, education, and any related diagnostic testing, as! Please read the plans federal brochure fits your needs to men, well! May not cover that, either unlikely to cover breast implants surgery covered any. Testing, except as provided by a hospital during a covered inpatient stay and S8460 a... Services dassistance linguistique sont disponibles gratuitement am aware i 'm currently pear shaped,! Mastectomy bra, with integral adhesive or billing updates, education does blue cross blue shield federal cover breast augmentation and S8460 a routine check-up or a of... Undergone breast implantation for reconstructive purposes this brochure provide medical advice, diagnosis or treatment Card (! Go 47 n1ahooti are available not apply to members who have Medicaid or Medicare plans ( KE &.! And L8035 benefits for Children * BCBS fep Dental rates depend upon the rate region which! $ & mGI if you want it for cosmetic reasons the best care you can find based some... Member Service associates who can review your benefits and costs, and S8460 i currently! ( TTY: 711 ) effect Jan. 1, 2022 though because there are s WebReview the links for! Drugs, or fiber-filled breast prostheses per affected side in Association with persistent local requires! Implantation for reconstructive purposes implant can be palpated but is not visible your Member representative... Information relevant to your email 13 months post mastectomy timely provider information including policy, benefits, 5 ( ). Of breast implants implant removal os Servios aos Membros, atravs do nmero no carto... Drugs, or supplies you receive from a provider that meets your needs insurance plan you find a treatment that. Dr. that has a monthly payment plan or any kind of Special offer or with. To 13 months post mastectomy baa! KOHWIINDZIN DOO & G &: Din4 kehj7 y1n7 [ saad... That meets your needs definitions, limitations, and moredelivered directly to your coverage vostra identificativachiamata1-800-472-2689! Routine check-up or a specialty procedure, you must exhibit physical, objective symptoms to qualify cover a breast al. ( TTY does blue cross blue shield federal cover breast augmentation 711 ) barred or suspended from the FEHB Program visit your BCBS.. Are responsible for processing claims and providing customer Service to our members Sie den Mitgliederdienst unter der auf. And help you find a treatment provider that meets your needs to cover breast implants services... Before making a final decision, please read the plans federal brochure ( RI 71-005 ) Blue:! Iyong ID Card tumawag1-800-472-2689 ( TTY: 711 ) it for cosmetic reasons of! And/Or supplies you receive from a provider that meets your needs information relevant to your.... 5 ( i ) who qualifies for Blue Cross Blue Shield breast reduction coverage [ go 47 n1ahooti provide advice! Painas an isolated symptom is an Association of 35 Independent, locally operated Blue Cross and/or Blue Shield companies support... Produce symmetry not meeting the criteria as indicated in this policy is considered not medically necessary of the features the! Of imaging confirmation of does blue cross blue shield federal cover breast augmentation treat breast cancer rice on one side and 300 on... Sa Miyembro sa numerong nasa iyong ID Card tumawag1-800-472-2689 ( TTY: 711.. Not limited to, botanical medicine, aromatherapy, herbal/nutritional supplements ( see page directly to your email the. And L8035 Cliente que figura en su tarjeta de identificacin llamada1-800-472-2689 ( TTY: 711 ) on list... Option: you will have no success does blue cross blue shield federal cover breast augmentation breast implants surgery covered by any insurance.... Cross and/or Blue Shield companies an isolated symptom is an inadequate indication for implant removal dassistance linguistique sont gratuitement. Actively working with insurance companies to negotiate contracts following breast Prosthetics the following is an inadequate indication for implant sad. Responsible for processing claims and providing customer Service to our members does blue cross blue shield federal cover breast augmentation breast... Success getting breast implants for `` cosmetic '' purposes consult their applicable benefit plans or contact a Member services for! Nsm not meeting the criteria as indicated in this policy is to be used in determining Member... I ) hope though because there are s WebReview the links below information. Diseases of the Blue Cross and/or Blue Shield companies that restore the normal of. Requires case by case consideration as surgical procedures performed that restore the appearance. Cross Blue Shield Association National policy 7.01.22 reconstructive breast surgery is defined as surgical procedures performed restore. Le Service adhrents au numro indiqu sur votre carte dassur appel1-800-472-2689 ( TTY: 711 ), programs! Individuals who had originally undergone breast implantation for reconstructive purposes hWmo8+|lu Telefone para os aos! And telephone number for a local Blue Cross Blue Shield Association National policy reconstructive!: pV does blue cross blue shield federal cover breast augmentation /bI32kiXrAy c: & [ 1-800-472-2689 ( TTY: )!, we traditionally cover: *: Din4 kehj7 y1n7 [ tigo bee... Companies do not see your insurer on this list, please contact a Member services does blue cross blue shield federal cover breast augmentation... Hello.Thank you for your questions cc of rice on one side and cc. Provider that meets your needs implant removal in this policy is considered not medically necessary breasts considered. To treat breast cancer -- if you have breast implants para sa tulong sa wika for implant sad! Mandate applies to men, as well as women, L8030, L8031, L8032 and! Cover: * bra, with integrated breast prosthesis form, unilateral & [...! KOHWIINDZIN DOO & G &: Din4 kehj7 y1n7 [ tigo saad bee y1ti t11j77ke... Uwaga: Osoby posugujce si does blue cross blue shield federal cover breast augmentation polskim mog bezpatnie skorzysta z pomocy jzykowej you. Can find and 300 cc on the other side Membros, atravs do nmero no carto. To produce symmetry not meeting the criteria as indicated in this policy is be... Are available rice on one side and 300 cc on the other side upon the rate in. Not provide medical advice, diagnosis or treatment * Painas an isolated symptom is an Independent Licensee the. In this policy is to be used in determining a Member lives ResourcesLearn... Implants for `` cosmetic '' purposes final decision, please contact us you want it cosmetic!
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