Question:
How long after consultation will you breast reduction be scheduled.
I go to my 1st appointment on Jan. 17 and was wondering those who had insurance pay for there reduction did you have to go to therapy first to prove that wouldn't help and than insurace would pay for it, or did they automatically prove it. basically how long after your 1st appt was you surgery scheduled. Dana M. — dmarie0112 (posted on January 11, 2007)
January 11, 2007
My OB-GYN sent a letter to my insurance and then after I had my
consultation with my surgeon, he also sent a letter to the insurance
stating that it was medically necessary for me to have the reduction. My
insurance paid everything except my $500 deductible. I did not have to go
to any therapy. From the consultation with the surgeon, to the date of
surgery was approx. 3 weeks. As soon as the surgeon received my approval
from the insurance, i was scheduled for surgery asap.. Hope this answers
your question.
— Karen M.
January 11, 2007
My insurance company didn't ask for anything. I would have had surgery
sooner than I did (12/11) but the hospital that my doctor worked with quit
taking Blue Cross, so I had to wait for another place for him to find. It
was a breeze through my insurance. Matter of fact I called them to find a
doctor too. They gave me plenty of choices! Good luck. Total time wait
for me, 3 months
— Diane C.
January 15, 2007
Check your insurance company's clinical guidelines, either online or by
phone, and find out what they require. Each insurance company is
different. I had to just go to a psychiatrist, who administered a test
wrote a letter saying I should have the operation. I also had to go on
(another) six-mpnth diet under a physician's care, and see him monthly. He
then wrote a letter. I also was tested for sleep apnea (and wound up with a
breathing machine) and a heart doctor, who both tested me I did all this
after checking with my insurance company, and so was able to go to the
surgeon and schedule my surgery for seven months after I began, which was
amonth after my diet requirement was met. that way, I did not have to wait
as long, since my surgery was already scheduled.
— Novashannon
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