Sounds like it's "medically necessary" to me. You might also check the forums on the website called obesityhelp.
The breasts are mostly composed of fat so losing weight will generally help. You can also try different garments to decrease the discomfort. The only other method of true breast reduction is surgery. If the large breasts are causing symptoms, such as upper back pain, this often will be covered by insurance.
For many who desperately need it, the cost of weight loss surgery is a road block to having the operation. Fortunately, there are many options to pay for this surgery. Many insurance companies will cover most, if not all, of the costs for the procedure, but they may have requirements that must be met before they will authorize surgery. If the procedure is not covered by your insurance, you can also pay for weight loss surgery with a credit card or small loan taken out through your local bank.
There are several options for weight loss surgery. From the Lap Band to the Gastric Sleeve. Again cost depends on you and what type of insurance coverage you have and what your insurance company will pay for. To get a general idea of what the cost is for this surgery the best place I have found is www.obeseinfo.com
Weight loss surgery can be extremely expensive, costing in the tens of thousands of dollars. Many insurance companies will pay for the surgery, but proving you need it can be a long and overwhelming process. Most insurance companies require documentation that you have tried other methods to lose weight unsuccessfully for at least six months prior to approving surgery. They will also require many reports and testing from your doctor, and frequently insist on a second opinion. Many weight loss surgery clinics have staff on hand to successfully help you navigate through the complicated hoops set up by insurance companies.
Weight loss surgery is typically performed on individuals who are obese or overweight. Gastric bypass surgery is the most common weight loss surgery followed by the Lap-Band procedure and gastric banding. Weight loss surgeries may be covered by certain insurance companies but sometimes they are not. Some people also consider liposuction to be a weight loss surgery because it is performed to remove excess fat from the body therefore resulting in some weight loss.
The first answer is correct inasmuch as it states that insurers will sometimes cover this surgery when it directly results in a health problem. However, the insurer will require medical documentation from a treating physician that surgery is the sole alternative. Keep in mind that there are many other ways to lose weight that may be effective in reducing the medical problem(s) caused by excess weight; the insurer may be willing to pay for those less invasive means more readily than for surgery. Also keep in mind. Furthermore, in many cases weight-gain is not a medical issue-instead, it is a behavioral issue. For that reason, the benefit of weight loss surgery may not be permanent if new behaviors are not instituted.
Whether or not your insurance will cover your gastric bypass can be a big issue for most people who need the weight loss help. Many companies have procedures in place that can help you avoid gastric bypass surgery insurance issues by doing everything with your doctor in the right order. Start by working with your doctor to lose weight through a traditional weight loss plan, and only consider the surgery if the plan fails to help. Usually, insurance companies want to see gastric bypass surgery approached as a last resort due to the high cost and risk of complications.
Many insurance plans will cover weight loss surgery if it is determined to be necessary. That is to say if you can convince them that without the surgery you may die or suffer serious consequences from obesity. However you'd have to check the actual wording of your policy. In effect you'd have to pay for a policy that covered obesity.
If you have decided to learn more about weight loss surgery, you will need to locate a reputable and friendly weight loss clinic that can perform the procedure. Before you begin looking, contact your insurance company to find out if they have any surgeons or clinics they have worked with in the past. By sticking with a clinic that has a history will your insurance company, you have a better chance of having most or all of the costs of the surgery covered by your insurance policy. Then, research which of those companies has the best reviews, from friends, neighbors, or online forums.
Many people choose Bariatric Surgery when traditional methods have not given them the weight loss they seek. Bariatric Surgery limits your food intake causing you to loose weight. For extensive information on Bariatric surgery, including the most popular choices, take a look at: http://www.yourbariatricsurgeryguide.com/intro/
One of the first question people ask when considering undergoing a gastric bypass operation is about insurance coverage and cost. If a person is looking into having a bypass surgery he or she is probably severely obese and so much so that the surgery is considered a life-saving procedure. In order to obtain insurance coverage for the surgery, patients should be able to prove that they have tried weight loss on their own and have failed in losing the necessary weight by other means. It is also important to get a letter from a physician and bariatric surgeon stating that the surgery is vitally important. Most insurances will cover the surgery if all requirements are met.
Weight loss, or bariatric, surgery can be very expensive. It can cost upwards to the tens of thousands of dollars. Insurance companies do not always cover the cost of weight loss surgery. Getting an insurance company to approve paying for the procedure can be very complicated, overwhelming, time consuming and frustrating. Proving that is is a last result by providing documentation of weight loss programs tried in the past is usually required. Second opinions and numerous doctors reports are usually needed. Even if the insurance company covers the procedure, the cost of copays and deductibles can add up very quickly.
Bariatric surgery is a procedure that can cost over $18,000. Insurance coverage of this procedure varies, but more and more insurance providers are covering a sizable portion of the cost, while some policies offer full coverage for the surgery. Medicare will cover bariatric surgery for individuals who meet certain criteria. Medicaid coverage varies from state to state. Private insurance, like Medicare, may cover the surgery only after specific criteria is met, such as having a weight-related illness like Type 2 diabetes.
There are a number of people trying to get gastric bypass surgery these days, and this has led to rising questions on the cost of this surgery and how to pay for it. Many people wonder if their insurance will allow for this surgery, and your insurance may indeed cover this type of procedure. Since it is no longer seen as an "experimental" weight loss procedure, insurance companies will pay for the surgery to help defray the cost of long term obesity related health issues. These issues can end up costing both you and the insurance company lots of money, so look for insurance for gastric bypass.
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