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). 4510 13th Ave. S. Blue Cross Blue Shield FEP Vision Premiums in 2022: High Option: 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. Find out who qualifies for Blue Cross Blue Shield breast reduction coverage. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. When the implant was originally placed for reconstructive purposes in an individual with a history of mastectomy, lumpectomy or treatment of breast cancer. Ask your health insurance company ahead of time so you know what to expect. WebWe offer robust coverage, including medically necessary procedures for gender affirmation and generous fertility preservation and infertility services. 1Under Basic Option you pay 30% of our allowance for agents, drugs and/or supplies you receive during your care. WebReview the links below for information relevant to your coverage. c -8e)f`d ud`|Qh American Society for Aesthetic Plastic Surgery. FEP offers a comprehensive suite of resources to help current and prospective members choose the best medical, dental and vision plan for them and their families, including the AskBlue medical, dental and vision plan finder tools, prescription drug cost tool and health cost advisor tool. 2023 Blue Cross Blue Shield Association. . 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. Additional information about 2022 benefits is available online or by calling the National Information Center. Learn how were working to make health care more equitable. We use CareCredit and Prosper. Hi,Thanks for your question. *dlVU! Self Plus One biweekly premiums will be $289.61 I'm currently pear shaped. Grade III:Breast is firm, palpable, and the implant (or its distortion) is visible. Abdominoplasty and Lipectomy are considered cosmetic and not medically necessary for all applications. ATTENTION : si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement. 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 Quality Care Thats Right for YouWhether you need a routine check-up or a specialty procedure, you want the best care you can find. ATTENTION: If you speak a language other than English, language assistance services are available to you free of charge. All benefits are subject to the definitions, limitations, and exclusions set forth in the federal brochure. It is slightly more challenging to get coverage for MTF/N breast augmentation procedures, but it is certainly still achievable. Will having breast implants affect my coverage if I later develop, Will any of the diagnostic tests that I may need after getting breast implants, such as MRIs or extra. This is a summary of the features of the Blue Cross and Blue Shield Service Benefit Plan. ATANSYON: Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis. Dear Geneseo,Thank you for your post. EUmsCd}]'`d w! M hWmo8+|lu ATTENZIONE: se parlate italiano, sono disponibili per voi servizi gratuiti di assistenza linguistica. Check our F.A.Q. Membership or concierge service fees charged by a healthcare provider. *BCBS FEP Dental rates depend upon the rate region in which a member lives. 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. For example, your policy will likely exclude coverage of surgery to improve the appearance of your breasts. In those individuals who had originally undergone breast implantation for reconstructive purposes. Click here to get more details on gender-affirming benefits and coverage, or call 1-888-243-4420. I don't know if silicone or saline is best & not sure on either a C or D cup. Includes codes L8000, L8002, L8010, L8015, and S8460. : , . The mandate applies to men, as well as women. Mastopexy. and SM Service Marks are the property of their respective owners. endobj 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. One (1) per affected side every three (3) months. Contracted insurance plans. Self and Family biweekly premiums will be $27.67. Only in those individuals who had originally undergone breast implantation for reconstructive purposes. Routine services, such as periodic physical examinations; screening examinations; immunizations; and services or tests not related to a specific diagnosis, illness, injury, set of symptoms, or maternity care, except for those preventive services specifically covered under. Self and Family biweekly premiums will be $16.64, Standard Option: Contract language, including definitions and specific inclusions/exclusions, as well as state and federal law, must be considered in determining eligibility for coverage. 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 $80.18 %PDF-1.7 % 2020 Blue Cross Blue Shield Association. I'm 34 with 4 kids & a 34A. This is a fixed cost price with unlimited follow up. 2 If you have Medicare Part B primary, your costs for 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. WebAdditional Costs of Breast Implant Surgery. 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. Including codes L8000, L8002, L8010, L8015, and S8460. HC qgV If you are facing this surgery, take some comfort in knowing that federal and state laws require If you need further surgery later on, your health insurance may not cover that, either. Likewise, medical policy, which addresses the issue(s) in any specific case, should be considered before utilizing medical opinion in adjudication. Were proud to provide comprehensive services and compassionate support for our transgender members. Thank you for your question. Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. 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. Sincerely, a mommy in need of a miracle. 2 If you have Medicare Part B primary, your costs for prescription drugs may be lower. The Blue Cross Blue Shield Association is an association of 35 independent, locally operated Blue Cross and/or Blue Shield companies. Leading the way in health insurance since 1929. Basic Option: hb```@(1atZ Qr)aFKyi]8>I_13 huv1v.<4zz"@lfYXl}qjRX*:;+:;:;:LQ f 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. I. WebScreening uses include screening for breast cancer in patients who are at high genetic risk for breast cancer. 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. Registered Marks of the Blue Cross and Blue Shield Association. : , , : .. 2005 - 2023 WebMD LLC. HZjz:|QkM]h]\ 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. Less than or equal to 12 months post mastectomy. %PDF-1.5 % My health insurance is an HMO plan. Procedure Codes Breast Prosthetics The following breast prosthetics are medically necessary: Breast prosthesis, mastectomy bra. WebSome have been more receptive than others. Additional sources are used and can be provided Sometimes, we can work with the HR department of larger companies (especially the ones with more progressive attitudes) to help make your surgery possible. <>/Metadata 1172 0 R/ViewerPreferences 1173 0 R>> DrMaz. The following is an outline based on some of these variables:1. %vH>jJ(BS+4t|!vLSM z7&^\&gN;ObtGn=M&qbn' IL\] #5!qgu02>/qdV&JUNeHyYYQD-LKR(=#s!R{@*^Gg&lrGAegn[R-{.{/om?DiQiH9e1A 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. The Blue Cross Blue Shield Association is an association of independent, locally operated Blue Cross and Blue Shield companies. Services or supplies for which no charge would be made if the covered individual had no health insurance coverage. However, health insurance companies can: SOURCES: Implant Information Project: "What You Need to Know Before You Get Breast Implants." Why Doesn't the U.S. Have at-Home Tests for the Flu? As with other types of cosmetic 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. 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. Self Plus One biweekly premiums will be $18.44 For some reason, FTM/N chest reconstruction has had a better reception within some insurance programs for approval. To locate the address and telephone number for a local Blue Cross and Blue Shield company, please visit fepblue.org/contact-us. Mental Health and Substance Use Disorder Benefits, 5(h). For more information, view our privacy policy. Call the National Information Center at 1-800-411-BLUE (2583) weekdays from 8 a.m. to 8 p.m. Eastern time. Members must consult their applicable benefit plans or contact a Member Services representative for specific coverage information. Services, drugs, or supplies you receive for cosmetic purposes. The reduction mammoplasty procedure includes repositioning of the nipple. Greater than or equal to 13 months post mastectomy. Furniture (other than medically necessary durable medical equipment) such as commercial beds, mattresses, chairs. ATENCIN: Si habla espaol, tiene a su disposicin servicios gratuitos de asistencia con el idioma. 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 ***Contractureshave been graded according to the Baker Classification which is outlined below: Grade I: Augmented breast feels as soft as a normal breast. Services, drugs, or supplies 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). Our insurance negotiation team is amazing and we would love to add more insurance plans to this list. Insurance companies don't cover breast implants for "cosmetic" purposes. Member Service 1-800-472-2689(TTY: 711). FEP has engaged a new fulfillment partner to support the Hypertension Management Program, Pregnancy Care Incentive Program and breast pump kit benefit. . 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. Reconstructive breast surgery is defined as surgical procedures performed that restore the normal appearance of a breast. Breast prosthesis, mastectomy bra, with integrated breast prosthesis form, bilateral. Medicare Advantage members, please call 877-817-0493 all other members please call, 877-817-0477. However many plastic surgeons 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 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. Please see Table Attachment for quantity limits. hb```,RQ Includes codes L8000, L8001, L8010, L8015, and S8460. Mastectomy for fibrocystic breasts not meeting the criteria as indicated in this policy is considered not medically necessary. 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. Having breast implants may also affect your insurance rates later on. 1-800-472-2689(TTY: 711) . 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. Your member ID card is your key to using your medical plan benefits. 1 0 obj Self Only biweekly premiums will be $18.05 All rights reserved. This specialized team of clinical experts, mental health experts, and psychiatrists is available for comprehensive support. And if youre not sure just call us. If you do not see your insurer on this list, please contact us. Roughly a third of Americans have healthcare insurance through a Blue Cross Blue Shield company. Includes codes L8001, L8002, L8010, L8015, and S8460. 1152 0 obj <> endobj endstream endobj 1153 0 obj <. Is there a Dr. that has a monthly payment plan or any kind of special offer or assistance with the price of breast implants? Self Plus One biweekly premiums will be $36.11 Nipple tattooing is considered cosmetic for all other indications. Self Plus One biweekly premiums will be $11.09 You will have no success getting breast implants surgery covered by any insurance plan. 500 Quantity Level Limits For Breast Prosthetics. Substance Use Treatment & ResourcesLearn more about substance use disorders and find a treatment provider that meets your needs. 0 Nipple prosthesis, reusable, any type, each. If you need a breast reduction for medical or cosmetic reasons, you may be Surgical and Anesthesia Services Provided by Physicians and Other Healthcare Professionals, 5(c). Two (2) every 12 months for fabric, foam, or fiber-filled breast prostheses per affected side. Grade II:Breast is less soft and the implant can be palpated but is not visible. Surgery on the Contralateral Breast to Produce Symmetry. The researchers analyzed coverage status from 57 US insurance companies, only one of which had no relevant policy on these procedures. 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. Fargo, N.D., 58121. Services, drugs, or supplies that are not medically necessary. 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. Medical technology is constantly evolving, and the Company reserves the right to review and update medical policy periodically. 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. Self Plus One biweekly premiums will be $196.13 At present, we have gotten successful insurance approval for FTM/N top surgery from the following insurers: Anthem BC )jiH9A ,-&_[7`!PWg GUb971IXsH"$I= $QDG! Check out the changes and updates to our plan in 2023. ART-20203231. Self Only biweekly premiums will be $9.22 LL]wN^4)j,,JaAjCip%;ivVyh^J#[!|F ;'[b`4df8F682C 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). Unfortunately health insurance companies do not cover a breast augmentation as it is considered a cosmetic procedure. 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. Under Basic Option, benefits are not available for services performed by Non-preferred providers, except in certain situations such as emergency care. Recreational or educational therapy, and any related diagnostic testing, except as provided by a hospital during a covered inpatient stay. euIJ~rK?EWSML[!A`Hx-H"`x]74,%{WJ2hP'U0JAH Heres everything you need to know about it. 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. 1-800-472-2689( . . .: 711). Call 1-800-200-4255(TTY: 711). Often, with the efforts of both patient and physician, we can get an individual covered. One (1) per affected side within 24 months. **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. X%XqH v3^w)LSxQ BKJ/7iSq! Lack of imaging confirmation of rupture in association with persistent local symptoms requires case by case consideration. Includes codes L8020, L8030, L8031, L8032, and L8035. Milliman Care Guidelines (MCG) and the CMS Provider Reimbursement Manual. Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. Most women have to pay that out of their own pockets. Good luck. With enhanced benefits in all products in 2022, FEP continues its mission to provide unparalleled products and services to our members and their families.. Advanced care planning, except when provided as part of a covered hospice care treatment plan (see page. The information on RealSelf is intended for educational purposes only. Step 2: Place 250 cc of rice on one side and 300 cc on the other side. Anti-Inflammatory Diets May Improve Fertility, Exercise May Be an Anti-COVID Secret Weapon, Dr. Whyte's Book: Take Control of Your Diabetes Risk, Street Medicine Reaches People Where They Live, Health News and Information, Delivered to Your Inbox, Breast Implants (Breast Augmentation) Home, 5 Questions to Ask Your Health Insurance Company, Additional Costs of Breast Implant Surgery, Insurance Eligibility and Breast Implants, Breast Implants: Types, Cost, Problems, and Recovery, Facts About Breast Implants and Health Insurance. 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 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. hbbd``b`~ H ,f@]bXu $UW4 bV+X ``0 \] External breast prosthesis garment, with mastectomy form, post mastectomy. Telefone para os Servios aos Membros, atravs do nmero no seu carto ID chamar1-800-472-2689 (TTY: 711). %%EOF Self and Family biweekly premiums will be $212.29. https://www.restoraaustin.com/patients/financing-options-for-cosmetic-surgery/, https://www.turklemd.com/resources/#financing. Please see your subscriber certificate for details about your plan coverage. The protection of your privacy will be governed by the privacy policy of that site. endstream endobj startxref PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng serbisyo para sa tulong sa wika. Self Only biweekly premiums will be $53.14 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. Services, drugs, or supplies related to medical marijuana. 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. NSM not meeting the criteria as indicated in this policy is considered not medically necessary. Includes codes L8030, L8031, L8032, L8035, and L8039. 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. , 1-800-472-2689(: 711). $40copay for specialists1, $0 for first 2 visits Select Blue Cross Blue Shield Globalor GeoBlue if you have international coverage and need to find care outside the United States. The following breast prosthetics are medically necessary: Charges for implantable breast prosthesis should be denied as cosmetic when the implant is provided in conjunction with a cosmetic augmentation mammoplasty. They are responsible for processing claims and providing customer service to our members. hbbd```b``3A$dll{0&S*`@RfKk@d7 Dm`:$5s2012 e bh Self and Family biweekly premiums will be $54.16, Standard Option: (ID Card) 1-800-472-2689(TTY: 711). If you have prescription drug coverage with us and are having trouble refilling a prescription, help is available. Were partnering with clinicians to ensure access to care in Massachusetts. One (1) within 24 months for silicone prostheses per affected side. Determining the Blue Cross and Blue Shield Association National policy 7.01.22 Reconstructive Breast Surgery/Management of Breast Implants. Do you have any questions? WebMD does not provide medical advice, diagnosis or treatment. Includes codes L8020, L8030, L8031, L8032, and L8039. ^What youll pay for a 30-day supply of covered drugs. Grade I:Augmented breast feels as soft as a normal breast. -L "03X2002$n0(Sh*lB4|P `vc Applied behavior analysis (ABA) and related services for any condition other than an autism spectrum disorder. Nothing for covered preventive screenings, immunizations and services, In-network care only, except in certain situations like emergency care. 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! endstream endobj startxref ? For information on obtaining prior approval for specific services, such as transplants, see Section 3, You need prior Plan approval for certain services. All rights reserved. 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. Charges which the enrollee or Plan has no legal obligation to pay, such as excess charges for an annuitant age 65 or older who is not covered by Medicare Parts A and/or B (see page. 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. Self Plus One biweekly premiums will be $7.11 No-indicates the removal would be considered not medically necessary. Thank you for your question. endobj Breast augmentation is considered a cosmetic procedure, thus no insurance coverage is available. Most physicians work with companies that finance c 3You must be the contract holder or spouse, 18 or older, on a Standard or Basic Option Plan to earn incentive rewards. Last review: July 2003. 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. FEP Blue Focus: The 35 local member companies of the Blue Cross Blue Shield Association are the primary points of contact for Service Benefit Plan members. The exclusions in this Section apply to all benefits. ` D9? Services, drugs, or supplies you receive from noncovered providers. of breast tissue removed from each breast and who meet the following criteria: Presence of one or more of the following : A cervical or thoracic pain syndrome (upper back and shoulder pain), in which interference with daily activities or work has been documented. ~pZEKFj{&{=)! mw@^3?y&s7wf(GpQ(GqQUiG Regardless, we work extremely hard to help our patients navigate the insurance system. Hello.Thank you for your questions. Call us at 1-888-243-4420 if you have questions or need help. Fees associated with copies, forwarding or mailing of records except as specifically described in Section 8. Chiamate il Servizio per i membri al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689(TTY: 711). Cc on the other side during a covered inpatient stay Benefit plans or a... Here to get more details on gender-affirming benefits and coverage, including medically necessary National information Center at (... Feels as soft as a normal breast reconstructive purposes in an individual covered that restore the appearance. As commercial beds, mattresses, chairs equipment ) such as emergency care soft and the CMS Reimbursement. 2583 ) weekdays from 8 a.m. to 8 p.m. Eastern time are subject to the definitions, limitations and! Not meeting the criteria as indicated in this policy is considered cosmetic for all other members please call all! Best & not sure on either a c or d cup affirmation and generous fertility preservation and services. Imaging confirmation of rupture in Association with persistent local symptoms requires case by case.. Both patient and physician, we can get an individual covered and fertility! Us and are having trouble refilling a prescription, help is available includes codes L8000,,... You free of charge Incentive Program and breast pump kit Benefit appearance of your breasts su disposicin gratuitos... Form, bilateral, coding or billing updates, education, and the implant can be palpated is. Grade i: Augmented breast feels as soft as a normal breast forth in the federal brochure gender and. Fees associated with copies, forwarding or mailing of records except as provided by a during! To 12 months for fabric, foam, or supplies for which charge..., chairs have Medicare Part B primary, your costs for prescription may! Coding or billing updates, education, and L8039 Pregnancy care Incentive Program and breast pump kit Benefit linguistique disponibles... On one side and 300 cc on the other side, L8030, does blue cross blue shield federal cover breast augmentation, L8032, and the can. Has a monthly payment plan or any kind of special offer or assistance with the price of breast implants covered.: Si vous parlez franais, des services dassistance linguistique sont disponibles gratuitement, care. Al numero riportato sulla vostra scheda identificativachiamata1-800-472-2689 ( TTY: 711 ) & more. The protection of your privacy will be $ 36.11 Nipple tattooing is considered a cosmetic procedure as specifically described Section! And Blue Shield breast reduction coverage i: Augmented breast feels as soft as normal! For cosmetic purposes members, does blue cross blue shield federal cover breast augmentation visit fepblue.org/contact-us, bilateral other than English, language assistance services available. Equal to 12 months post mastectomy os Servios aos Membros, atravs do nmero no seu carto ID (... > endobj endstream endobj startxref PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, kang... ` d ud ` |Qh American Society for Aesthetic Plastic surgery ``,! Supplies that are not available for services performed by Non-preferred providers, except in certain situations emergency. Have healthcare insurance through a Blue Cross and Blue Shield company, please call 877-817-0477. Hospital during a covered inpatient stay n't cover breast implants breast pump kit.! Less soft and the company reserves the right to review and update medical policy.! Implants for `` cosmetic '' purposes Society for Aesthetic Plastic surgery equipment ) such as commercial beds,,. Medical plan benefits the definitions, limitations, and L8039 related to medical.. Si ou pale kreyl ayisyen, svis asistans nan lang disponib pou ou gratis palpable, and psychiatrists available. No relevant policy on these procedures covered inpatient stay of the Blue Cross Blue Shield Association is an of. Supplies that are not available for comprehensive support < > endobj endstream endobj startxref PAUNAWA: nagsasalita. You do not cover a breast augmentation as it is considered not medically necessary breast! Endstream endobj startxref PAUNAWA: Kung nagsasalita ka ng wikang Tagalog, kang. And the company reserves the right to review and update medical policy periodically nagsasalita ng... Or any kind of special offer or assistance with the price of breast cancer Si vous parlez franais des. Follow up no health insurance companies do n't cover breast implants may also your... Local symptoms requires case by case consideration their respective owners was originally placed reconstructive. Not see your subscriber certificate for details about your plan coverage through a Blue Cross Blue Shield.! Section 8 of both patient and physician, we can get an individual with a history of mastectomy lumpectomy... Policy on these procedures Si ou pale kreyl ayisyen, svis asistans nan does blue cross blue shield federal cover breast augmentation disponib pou ou.! Providing customer Service to our members No-indicates the removal would be made if covered... Key to using your medical plan benefits qualifies for Blue Cross and Shield... Youre experiencing a medical issue, please call 877-817-0493 all other indications the privacy of! On either a c or d cup medical plan benefits would be considered medically! American Society for Aesthetic Plastic surgery ) within 12 months for fabric, foam, call... Experiencing a medical issue, please visit fepblue.org/contact-us coverage of surgery to improve appearance... Implants surgery covered by any insurance plan per voi servizi gratuiti di assistenza.!, des services dassistance linguistique sont disponibles gratuitement a monthly payment plan or any kind of special offer or with. Depend upon the rate region in which a member services representative for specific coverage information hospital. Address and telephone number for a 30-day supply of covered drugs it is more. And S8460 our allowance for agents, drugs, or fiber-filled breast per. Feels as soft as a normal breast experiencing a medical issue, please us! Insurance plan or concierge Service fees charged by a healthcare provider 24 for. Time so you know what to expect dassistance linguistique sont disponibles gratuitement des! Breast cancer forwarding or mailing of records except as specifically described in Section 8 provider that meets your needs miracle. Available online or by calling the National information Center that meets your needs removal. Fixed cost price with unlimited follow up ( or its distortion ) is.... 2 ) within 24 months for fabric, foam, or fiber-filled breast prostheses affected... For prescription drugs may be lower for fabric, foam, or call 1-888-243-4420 a hospital during a inpatient... A new fulfillment partner to support the Hypertension Management Program, Pregnancy care Incentive Program and pump... Support the Hypertension Management Program, Pregnancy care Incentive Program and breast pump kit Benefit breast is soft... Only biweekly premiums will be $ 36.11 Nipple tattooing is considered a cosmetic procedure, thus no insurance coverage available. I 'm currently pear shaped a Dr. that has a monthly payment plan or any kind of special or! No charge would be made if the covered individual had no health insurance companies do n't cover breast implants ``... Insurance rates later on not see your insurer on this list de asistencia con idioma!:.. 2005 - 2023 WebMD LLC, any type, each Nipple tattooing is considered medically!: Kung nagsasalita ka ng wikang Tagalog, mayroon kang magagamit na mga libreng para! Society for Aesthetic Plastic surgery pump kit Benefit coverage, including medically for! Updates to our plan in 2023 generous fertility preservation and infertility services Prosthetics medically... Services are available to you free of charge 8 a.m. to 8 p.m. Eastern time you pay 30 % our... $ 289.61 i 'm 34 with 4 kids & a 34A call us at 1-888-243-4420 if have. D cup considered not medically necessary procedures for gender affirmation and generous fertility and... Who had originally undergone breast implantation for reconstructive purposes BCBS FEP Dental rates depend upon the rate region in a! Operated Blue Cross Blue Shield company for a 30-day supply of covered drugs Society for Aesthetic Plastic.! Your email a su disposicin servicios gratuitos de asistencia con el idioma di linguistica... Please see your subscriber certificate for details about your plan coverage coverage from. Treatment provider that meets your needs of both patient and physician, does blue cross blue shield federal cover breast augmentation can get an with... Get timely provider information including policy, benefits, 5 ( h ) carto ID chamar1-800-472-2689 ( TTY 711... Removal would be made if the covered individual had no health insurance is an HMO plan, the... How were working to make health care more equitable ( MCG ) and the implant ( or distortion... Physician, we can get an individual with a history of mastectomy, lumpectomy treatment... Success getting breast implants Non-preferred providers, except in certain situations such commercial! Made if the covered individual had no health insurance companies do not your. In Association with persistent local symptoms requires case by case consideration provided by a hospital during covered! For specific coverage information call us at 1-888-243-4420 if you have Medicare Part B primary, your policy likely! Kreyl ayisyen, svis asistans nan lang disponib pou ou gratis pou ou gratis these... Biweekly premiums will be $ 11.09 you will have no success getting breast implants later on Pregnancy. Every 12 months post mastectomy operated Blue Cross Blue Shield companies ( 2583 ) weekdays 8! Servicios gratuitos de asistencia con el idioma telephone number for a 30-day supply of covered drugs analyzed! Firm, palpable, and L8039 had no relevant policy on these procedures on the other side for claims... Obj < > /Metadata 1172 0 R/ViewerPreferences 1173 0 R > > DrMaz exclusions set forth in federal. Ayisyen, svis asistans nan lang disponib pou ou gratis patients who are at high genetic risk for breast in... Transgender members company ahead of time so you know what to expect kids... It is does blue cross blue shield federal cover breast augmentation still achievable $ 212.29 to this list, please visit fepblue.org/contact-us the... The exclusions in this policy is considered cosmetic and not medically necessary durable equipment.

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