Is Gynecomastia Surgery Covered By Insurance?
The problem of enlarged breasts in men can be addressed by Gynecomastia surgery. Developed breasts can be disturbing for many men, causing a loss in confidence. Gynecomastia surgery can give them a flat chest with the help of liposuction of fat from the chest or by excision.
Whatever way the doctor decides, you have to pay for it and here comes the role of an insurance.
Getting the surgery done can break the bank, just like other plastic surgeries. If you are someone looking for a solution to finance your surgery while enjoying your new body, then you are at the right place.
In this article, we will dive into some factors that determine whether your Gynecomastia surgery will be covered by insurance or not.
Gynecomastia Surgery And Insurance – A Guide To Coverage Options
Similar to other plastic surgery, breast reduction in males is also not covered by insurance as it does not come under any medical condition. However, there are some ways you can get insurance.
1. The Reason for Surgery:
Only when the surgery is proven to be the only solution to your problem medically you can claim your insurance. Here’s why:- Medical Conditions: If the enlarged breast is caused by some underlying medical condition then the surgery can be considered to be necessary and with proper documentation by the doctor, you may get insurance.
- Physical Pain or Limitations: Extreme pain or discomfort that causes limitations in daily activities can be taken into consideration for insurance coverage.
2. The severity of the Condition:
How severe the surgery is, can make a difference in the insurance coverage. Generally, mild cases with minimal physical symptoms are less likely to be covered compared to severe cases with significant physical or psychological distress.3. Your Insurance Policy:
You must know your insurance policy as it highly depends on the terms and conditions mentioned in the policy. Give a careful review of your policy or contact your insurance provider for some clarifications.Eligibility Criteria For The Insurance
Mostly there are some common criteria to get the coverage of surgery by health insurance. Have a quick look:- The patient should have both glandular tissues and fat tissues or only glandular tissue growth. If the patient has pseudogynecomastia (only fat tissues), the surgery is considered cosmetic.
- The patient must be an adult.
- The increased size of the breasts is causing pain, discomfort, posture issues, etc.
- The patient has discontinued the drugs or medicines that induced hormonal imbalance in the first place and led to gynecomastia.
- The condition persisted despite addressing the underlying cause.
- The enlargement is caused due to Klinefelter Syndrome.
- The tissue growth is cancerous.
Final Thought
Enlarged breasts can cause emotional distress among males, and thus Gynecomastia is gaining popularity. It boosts self-confidence and enhances appearance. However, the cost of the surgery might come your way. Thus, looking for full insurance coverage is not a bad idea.
Although, it all depends on the insurance policy you have and the condition of your enlarged breast. If this is just a fat deposit then your doctor might also tell you to reduce it with some exercise and healthy habits. Do an open conversation with your doctor and take a final call about your new you.
