Breast surgeon for teen (BCBS federal)

Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:My teenage girl really wants/needs breast reduction surgery. She is a 32G and it interferes with sports, makes it very hard to find clothes, and results in bathing suits looking too revealing no matter how hard we try to find one that fits correctly.

We found a surgeon we liked but they just notified us they no longer take our insurance - BCBS federal. I have researched the requirements for coverage and it would be covered under their policy under the circumstances.

Does anyone have a surgeon they recommend?

Thank you!


That is not medically required surgery. No health insurance will cover that. It's a cosmatic surgury.


That's not necessarily true.


It would be more helpful if you can tell us why it's not true.


Two of my relatives had this surgery covered because of serious back issues. It was life changongm


The back issues need to be the reason, OPs complaints are all cosmetic.


What she wrote here is mostly cosmetic. That doesn’t mean it’s the entire story.

Anonymous
I have not had breast surgery, but when I was seeking diastasis recti repair I mentioned the Dr I was considering to my OB and she was effusive regarding his skills and said they refer all their breast reconstruction to him. Dr Samir Rao at CPS. I also valued the office felt medically focused and like a real Dr office not purely cosmetic with half naked bodies all over the walls. My surgery experience was excellent.
Anonymous
Anonymous wrote:A teenager having back issues due to large breast and require breast reduction surgery? Good luck selling that to insurance company.


Its a legitimate issue. Ariel Winter from Modern Family got one, though I presume she paid for it, as a teenager.
Anonymous
I am same size and life isn’t that difficult. Do I have to shop around for bathing suits, yes. Do I have to wear a more expensive heavy duty sports bra, yes. Do I need to stretch and take care of myself so my back doesn’t ache, yes. Would I go through a reduction, no.
Anonymous
Anonymous wrote:
Anonymous wrote:A teenager having back issues due to large breast and require breast reduction surgery? Good luck selling that to insurance company.


Its a legitimate issue. Ariel Winter from Modern Family got one, though I presume she paid for it, as a teenager.


I somehow doubt OP's DD has medically documented back issues just based on her initial posting. OP, are you still with us?
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:A teenager having back issues due to large breast and require breast reduction surgery? Good luck selling that to insurance company.


Its a legitimate issue. Ariel Winter from Modern Family got one, though I presume she paid for it, as a teenager.


I somehow doubt OP's DD has medically documented back issues just based on her initial posting. OP, are you still with us?


OP's not asking for your opinion on it being medically necessary. Where did you get your MD?

She's asking for recommendations for a surgeon who takes her insurance. She can handle the rest.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:A teenager having back issues due to large breast and require breast reduction surgery? Good luck selling that to insurance company.


Its a legitimate issue. Ariel Winter from Modern Family got one, though I presume she paid for it, as a teenager.


I somehow doubt OP's DD has medically documented back issues just based on her initial posting. OP, are you still with us?


OP's not asking for your opinion on it being medically necessary. Where did you get your MD?

She's asking for recommendations for a surgeon who takes her insurance. She can handle the rest.


I am trying to tell OP that unless it’s medically needed no insurance will cover. Are you too stupid to understand that?
Anonymous
Anonymous wrote:I am same size and life isn’t that difficult. Do I have to shop around for bathing suits, yes. Do I have to wear a more expensive heavy duty sports bra, yes. Do I need to stretch and take care of myself so my back doesn’t ache, yes. Would I go through a reduction, no.


Your Personal decision!
Anonymous
Anonymous wrote:
Anonymous wrote:I am same size and life isn’t that difficult. Do I have to shop around for bathing suits, yes. Do I have to wear a more expensive heavy duty sports bra, yes. Do I need to stretch and take care of myself so my back doesn’t ache, yes. Would I go through a reduction, no.


Your Personal decision!


All decisions are personal.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:A teenager having back issues due to large breast and require breast reduction surgery? Good luck selling that to insurance company.


Its a legitimate issue. Ariel Winter from Modern Family got one, though I presume she paid for it, as a teenager.


I somehow doubt OP's DD has medically documented back issues just based on her initial posting. OP, are you still with us?


OP's not asking for your opinion on it being medically necessary. Where did you get your MD?

She's asking for recommendations for a surgeon who takes her insurance. She can handle the rest.


I am trying to tell OP that unless it’s medically needed no insurance will cover. Are you too stupid to understand that?


Are you too stupid to understand that a surgeon or other medical doctor will help her decide if it's medically necessary and submit it to the insurance. You are not her medical doctor or surgeon, so your opinion means nothing.
Anonymous
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:A teenager having back issues due to large breast and require breast reduction surgery? Good luck selling that to insurance company.


Its a legitimate issue. Ariel Winter from Modern Family got one, though I presume she paid for it, as a teenager.


I somehow doubt OP's DD has medically documented back issues just based on her initial posting. OP, are you still with us?


OP's not asking for your opinion on it being medically necessary. Where did you get your MD?

She's asking for recommendations for a surgeon who takes her insurance. She can handle the rest.


I am trying to tell OP that unless it’s medically needed no insurance will cover. Are you too stupid to understand that?


Are you too stupid to understand that a surgeon or other medical doctor will help her decide if it's medically necessary and submit it to the insurance. You are not her medical doctor or surgeon, so your opinion means nothing.



You two are stupid fighting, OP clearly said: I researched the requirements for coverage and it would be covered under their policy under the circumstances.
Anonymous
Some thoughts on insurance coverage of breast reduction surgery from a surgeon’s experience:

https://www.plasticsurgery.org/news/blog/is-breast-reduction-covered-by-health-insurance?amp=1
Anonymous
If the insurance doesn't cover it you can travel to Colombia and get them done for a fraction of the US price, they do beautiful boob jobs there!

My aunt got breast reduction and a breast lift.

My cousin got breast reduction. Both to C cups.

I don't have big boobs but if they were HUGE I would get them done too. Good OP for being proactive!
Anonymous
Anyone saying overly large breasts are not a medical condition, does not have overly large breasts.

I (finally) had a breast reduction at 48 and it's the single best thing I've ever done for myself. Better posture, no more daily back pain, no groove marks in my shoulders, and yes, clothing fits and looks better, and I can buy bras in a regular store, that are actually cute!

My insurance covered it, and I will fully support my DD if she want to pursue the same path when she turns 18.
Anonymous
Op here; leave it to DCUM! I was excited to see the number of responses thinking I was getting recommendations. We have talked to several doctors over the last two years, as well as our insurance company and her pediatrician. Believe me, it’s medically necessary and will be covered. I wasn’t trying to get into that here. Thank you for those who provided recommendations. We actually went to children’s and liked the doctor - but experienced exactly what PP described. Billing department gave me nonsense estimates, couldn’t coordinate with insurance competently, and repeatedly did not call me back. This will be DD’s first hospital experience ever and I didn’t want to deal with logistical issues, it made me lose faith in the medical care.
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