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Old 03-28-2012, 02:29 PM   #1
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Breast Reduction Proposal Questions

So I just went for a consultation for a breast reduction. I'm a slender, dainty thing (5 feet and 3 inches; 107 pounds), but my chest is a 28F/G. The doctor agrees that it is medically necessary and we agreed on a B cup for the end result, we just have to propose it to insurance now.

They are making me go to a physical therapist, once, to have him/her argue my case, the plastic surgeon is helping, and she wants be to go to a OB/GYN to get a 3rd recommendation--she says if I get all of these recommendations, it is very likely insurance will pay 100%. I've never been to an OB/GYN before, but I have no other issues aside from my excess chest tissue, I'm not sexually active or anything like that, and don't plan on being (at least until I get married in like 10-15 years or so.) Is this really necessary to pay for a visit when I can just get the surgeon and physical therapist to sign? I really don't want to go and don't see a need, and it seems paying all these specialists to try to save money on the surgery, is defeating the original purpose.

 
Old 04-26-2012, 11:18 PM   #2
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Re: Breast Reduction Proposal Questions

Well if you have insurance and office visit is only going to cost you a co-pay, for the OB/GYN and Physical Therapist. And if you see them your surgery should be covered by insurance. Whereas if you don't see them, your surgery could be deemed as elective as opposed to medically necessary and you could end up paying thousands of dollars.

It's your call, the plastic surgeon can't "make" you see any additional Dr.'s, but it seems like he's working in your best interest to try and save you from having to pay a lot of money for this surgery. Not many docs would do that, they'd just say it was your problem...

kat

 
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