Anonymous
Post 04/21/2022 17:26     Subject: Breast surgeon for teen (BCBS federal)
My early 20s daughter just had this done by Dr. Ximena Pinnel on New Mexico Ave and had a great experience. She has been so happy with the results.
Anonymous
Post 04/21/2022 15:17     Subject: Re:Breast surgeon for teen (BCBS federal)
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had my reduction done by Stephen Baker at Medstar Georgetown in 2019. I also have BCBS Federal, and it was fully covered. Dr. Baker was wonderful and was able to get everything approved through insurance. I only paid the surgery co-pay.

https://www.stephenbakermd.com/


Your age?


I was 36 at the time of consult and 37 when I had the surgery


Completely different scenario than OPs daughter.

They are going to advise that she wait until she stops growing. And insurance is going to want a documented history of back issues that would justify a reduction.

Insurance companies decisions are still heavily weighted toward dealing with an problem after it is a problem instead of taking a preventive route.
Can we let the topic of will it or won’t it be covered go now? OP has been clear she believes the surgery will be covered, if it’s not, well that’s an OP problem, not a you problem. Anyone else considering this has been sufficiently warned as well.


Seriously! This is OP and I worked for the Federal agent that administers the insurance plans. I know the plan, I know the policy, I've talked to them, I know exactly how much tissue needs to be removed and what documentation we need. Every plan is different and has different criteria. Let it go, please!


Dr. Stephen Baker did mine. Georgetown Hospital. He takes BCBS, same insurance I have. GL.
Anonymous
Post 04/21/2022 15:10     Subject: Breast surgeon for teen (BCBS federal)
Anonymous wrote:Give her body time to catch up before making life altering decisions


you are clearly not a 32G.
Anonymous
Post 04/21/2022 15:09     Subject: Breast surgeon for teen (BCBS federal)
breast surgery is covered as medical- especially if you have back problems, are out of proportion (sounds like 32G is) and how much you are being reduced. PP is a moron.
Anonymous
Post 04/21/2022 12:07     Subject: Re:Breast surgeon for teen (BCBS federal)
I also used Stephen Baker at Georgetown (20 years ago) and am still thrilled with the results. Was able to breastfeed. Did it in my 20s and wish I had done it sooner. Good luck.
Anonymous
Post 04/21/2022 11:37     Subject: Breast surgeon for teen (BCBS federal)
Anonymous wrote:A G cup!? My goodness, I hope she does get a reduction. I’m a DD after kids and strongly considering a reduction - the back pain is real.


Reduction in situations of need really must be taken more seriously, I feel.

Clearly, the young woman here really needs this therapeutic surgery, especially as she is an athlete.

I don’t understand why some people just can’t see the wide difference between a necessary reduction, and the whole cosmetic, elective, enhancement industry.

They are completely different, people!
Anonymous
Post 04/21/2022 11:07     Subject: Breast surgeon for teen (BCBS federal)
Anonymous wrote:Give her body time to catch up before making life altering decisions


Please explain, How do you "catch up" to a DDs or G sizes?

The only way would be if you end up being 6'.0" and 200lbs at least. LOL.
Anonymous
Post 04/21/2022 10:50     Subject: Breast surgeon for teen (BCBS federal)
Following because I'm sure this is in our future.
My 13 year old is a DD and I'm guessing she isn't done developing.
Anonymous
Post 04/20/2022 23:03     Subject: Re:Breast surgeon for teen (BCBS federal)
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had my reduction done by Stephen Baker at Medstar Georgetown in 2019. I also have BCBS Federal, and it was fully covered. Dr. Baker was wonderful and was able to get everything approved through insurance. I only paid the surgery co-pay.

https://www.stephenbakermd.com/


Your age?


I was 36 at the time of consult and 37 when I had the surgery


Completely different scenario than OPs daughter.

They are going to advise that she wait until she stops growing. And insurance is going to want a documented history of back issues that would justify a reduction.

Insurance companies decisions are still heavily weighted toward dealing with an problem after it is a problem instead of taking a preventive route.


My sister had it done at 17 and it was covered, no documented history of back pain, it was destroying her posture though. Pediatrician agreed that it should be considered and referred her to a surgeon. Surgeon agreed it should be done and sent what was needed to insurance to get it covered.
Anonymous
Post 04/20/2022 22:01     Subject: Breast surgeon for teen (BCBS federal)
Anonymous wrote:I cannot imagine BCBS FEP covering this and I have the same insurance.


They outline very specific requirements for breast reduction - many of which people with large breasts have already met.
Anonymous
Post 04/20/2022 21:14     Subject: Breast surgeon for teen (BCBS federal)
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.


Wrong. Same problem here and mine was fully covered.
Anonymous
Post 04/20/2022 20:44     Subject: Breast surgeon for teen (BCBS federal)
A G cup!? My goodness, I hope she does get a reduction. I’m a DD after kids and strongly considering a reduction - the back pain is real.
Anonymous
Post 04/20/2022 20:44     Subject: Breast surgeon for teen (BCBS federal)
Anonymous wrote:
Anonymous wrote:Give her body time to catch up before making life altering decisions


She's done growing, she has grooves in her shoulders, back pain, headaches, neck aches, and is a serious athlete. I think she's probably bigger than a 32G, that's what she wears, but they don't really fit.


And the medical professionals tell us it will only get worse. "catch up" with what?? I don't want her to have to spend more years struggling with this. I was obese as a teen, and although it is different I know what it feels like to be uncomfortable in your own body. My mother has the same issue, and she's 75 and says she WISHES she did it as a teenager.
Anonymous
Post 04/20/2022 20:41     Subject: Breast surgeon for teen (BCBS federal)
Anonymous wrote:Give her body time to catch up before making life altering decisions


She's done growing, she has grooves in her shoulders, back pain, headaches, neck aches, and is a serious athlete. I think she's probably bigger than a 32G, that's what she wears, but they don't really fit.
Anonymous
Post 04/20/2022 20:40     Subject: Re:Breast surgeon for teen (BCBS federal)
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:
Anonymous wrote:I had my reduction done by Stephen Baker at Medstar Georgetown in 2019. I also have BCBS Federal, and it was fully covered. Dr. Baker was wonderful and was able to get everything approved through insurance. I only paid the surgery co-pay.

https://www.stephenbakermd.com/


Your age?


I was 36 at the time of consult and 37 when I had the surgery


Completely different scenario than OPs daughter.

They are going to advise that she wait until she stops growing. And insurance is going to want a documented history of back issues that would justify a reduction.

Insurance companies decisions are still heavily weighted toward dealing with an problem after it is a problem instead of taking a preventive route.
Can we let the topic of will it or won’t it be covered go now? OP has been clear she believes the surgery will be covered, if it’s not, well that’s an OP problem, not a you problem. Anyone else considering this has been sufficiently warned as well.


Seriously! This is OP and I worked for the Federal agent that administers the insurance plans. I know the plan, I know the policy, I've talked to them, I know exactly how much tissue needs to be removed and what documentation we need. Every plan is different and has different criteria. Let it go, please!