American Society of Plastic Surgeons
For Medical Professionals
 
Millietwins
3 years ago
Answered

Insurance acceptance

Hello,

My insurance approved to remove 1,000 grams of my breast. How can i find out if you could remove that amount?

I am 5'8" tall and at this time weight 200lbs

Procedure: Breast Reduction
Location: Oviedo, FL

Replies 4

Steven Wallach
ASPS Surgeon
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You would have to be seen in person for an appropriate evaluation and to see if removing 1000 gms or so would be appropriate for you. Best of luck.

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Orlando Cicilioni
ASPS Surgeon

In order to follow the steps required for insurance to cover the procedure, you would need to obtain a referral from your PCP for the procedure along with a letter of medical necessity indicating that you need to have a breast reduction for treatment of chronic neck and back pain symptoms. Women who are 35 years of age or older also usually require a current screening mammogram prior to surgery. Then you would see a plastic surgeon on your insurance plan for a consultation, who would then decide if you have 1,000 grams of breast tissue that could be removed on each side. You would have a discussion about your current size and anticipated results, risks and benefits.

I understand that you are in Oviedo. I have an office in Orlando not far from you, and if you would like a consultation, please feel free to call.

Orlando Cicilioni MD

Ph (407) 681-3223

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Samir Shureih

When doing reduction mamoplasty, the goal is to achieve the size that the patient wants and is suitable to the body , not the size the insurance company wants. I am operating on the patient not the insurance company

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Nelson Castillo

Thank you for sharing your question. Your plastic surgeon will need to evaluate you to see if 1000gms can be safely removed from each breast, and if it will achieve an outcome that you will be able to accept. Hope this helps.

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