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How would someone determine if a breast reduction is considered 'medically necessary'?
They would start with the defintion
Medically Necessary Services or supplies provided by a licensed health facility or health professional, which are determined by the health plan company and its contracting or employed Physician Group to be: Not Experimental or Investigational. Appropriate and necessary for the symptoms, diagnosis, or treatment of a condition, illness or injury. Provided for the diagnosis or care and treatment of the condition, illness, or injury. Not primarily for the convenience of the Member the Member's Physician, or anyone. The most appropriate supply or level of service that can safely be provided. For example, outpatient rather than inpatient surgery may be authorized when the setting is safe and adequate.
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My Blue Cross plan required documentation of medical condition requiring breast reduction, i.e., neck pain,Back pain, etc. I had to prove that I had sought help from MD's for a period of time and that the reduction was recommended by them.
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What else can I help you with?
Is there any kind of cosmetic surgery insurance at all?
There are cosmetic surgeries that insurance will cover as long as it is medically necessary. Examples would include breast reduction, eye lifts and nose jobs as long as a doctor can prove to the insurance company that the surgery is medically necessary.
Will insurance cover it if I get her brest reducition?
Most of the times yes, insurance does cover breast reduction because breast reduction is considered medically necessary. Being the case that it is your daughter (who I can only assume is young) it will be an even bigger medical need because of the future medical problems that could result otherwise. Yes, you are covered (though, this is all depending on your insurance, of course).
Does empire bcbs of sc cover breast reduction?
Empire BlueCross BlueShield (BCBS) may cover breast reduction surgery if it is deemed medically necessary. Coverage often requires documentation of symptoms such as back pain, neck pain, or other physical issues related to breast size. It's essential to check with your specific plan for details on coverage, as policies can vary. Consulting with a healthcare provider can also help determine eligibility for coverage.
Will Medicare pay for breast reduction?
Yes, but you have to have a referral from a dr. You have to have a medical condition supporting a breast reduction. Such as back problems, indentions in the shoulders from your bra strap.
How do you determine the size of a reduction gear box?
You can determine the circumference of a reduction gear box by multiplying its diameter by pi. This is because its outer portion is a circle.
Can you receive short term disability for plastic surgery?
Yes, as long as your doctor certifies it is medically necessary. Such as breast reduction for back pain, skin removal after massive weight loss, etc. Simply getting breast implants or a face lift for cosmetic reasons are not covered.
Why are dental records and X-rays necessary before mentoplasty is done?
The dental history and x ray studies of the head and jaw are necessary in order to determine whether the facial disproportion can be corrected by an implant or simple reduction, or whether orthognathic surgery is required.
Do kaiser pay for breast reduction?
Kaiser Permanente may cover breast reduction surgery if it is deemed medically necessary. This typically means that the procedure must address physical health issues, such as chronic pain or other complications related to large breasts. Coverage can vary based on individual circumstances, so it is important to consult with a healthcare provider and verify specific insurance policy details.
Does anthem blue cross blue shield pay for breast reduction?
Anthem Blue cross will pay for a breast reduction ONLY if it is medically nessacary and is not pre-exisiting. It is good to get a DR. to note that it is needed in order for your quality of life to be better.
What comsetic surgery can you get off the nhs?
In the UK, the NHS may provide cosmetic surgery for patients if it is deemed medically necessary rather than purely for aesthetic reasons. Common procedures include breast reduction for alleviating physical discomfort, eyelid surgery (blepharoplasty) for vision impairment, and certain reconstructive surgeries following trauma or illness. Eligibility typically requires a thorough assessment by a healthcare professional to determine if the surgery meets specific clinical criteria.
Is a 23 dB noise reduction level considered good?
Yes, a 23 dB noise reduction level is considered good as it indicates a significant reduction in noise, making it easier to focus and concentrate in a quieter environment.
How do you determine the discount percentage?
It is = (reduction in price)/(original price) * 100.
