Does Blue Cross Insurance Cover Gynecomastia Surgery? [Expert Answer]


If you’re considering getting surgery to treat gynecomastia, you may have one big question on your mind: Does Blue Cross insurance cover gynecomastia surgery?

The good news is that it does—and even if you don’t have Blue Cross insurance, there are still ways you can get the coverage you need.

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Here’s everything you need to know about what Blue Cross covers when it comes to treatment for gynecomastia and how you can get the coverage you deserve, regardless of your insurance provider or what kind of procedure you want to get done.

What Is Gyno?

Gynecomastia, often referred to as man boobs, is a condition that affects men of all ages and can be caused by a variety of factors.

While it is not a life-threatening condition, it can be very embarrassing and cause psychological distress.

The good news is that there are treatments available, and one of the most effective is surgery. But does Does Blue Cross Insurance Cover Gynecomastia Surgery? We willtake a look.

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What Are the Side Effects of Not Treating Gyno?

If you don’t treat gyno, the side effects can be both physically and emotionally uncomfortable. For example, you may experience pain in your chest, have difficulty finding shirts that fit properly, or feel self-conscious about your appearance.

In some cases, men with untreated gyno may also experience reduced sex drive and fertility issues. If you’re struggling with any of these symptoms, it’s important to talk to your doctor about treatment options.

The good news is that even if your insurance doesn’t cover gynecomastia surgery, there are still ways to get help.

There are also support groups available for anyone looking for more information on treatments available for gynecomastia.

What Is the Cost of Treating Gyno Without Insurance Coverage?

The average cost of treating gynecomastia without insurance coverage is between $3,000 and $8,000. The price will depend on the severity of your case and the type of treatment you receive.

If you have mild gyno, you may be able to get away with simply wearing compression garments, which can cost around $100.

However, if you have more severe gyno, you may need surgery to remove the excess tissue, which can cost anywhere from $3,000 to $8,000.

It all depends on the size of your breasts and how much needs to be removed in order for them to look natural again.

What is the Cost of Treating Gyno with Insurance Coverage?

The cost of treating gynecomastia with insurance coverage will vary depending on your individual plan. However, most plans will cover at least a portion of the costs associated with surgery.

In some cases, you may be responsible for a copay or deductible. If you have questions about your specific coverage, contact your insurance provider.

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It is worth noting that most providers require that you meet their eligibility requirements before they will pay for your procedure.

These can include things like age and weight, so make sure to review the policy carefully before making any decisions.

Does Blue Cross Cover Gyno Surgery, and Should I Ask For it?

You might be surprised to know that Blue Cross actually does cover gynecomastia surgery in some cases. The key is whether or not your surgery is considered medically necessary.

If your doctor can prove that the surgery is needed for medical reasons, then Blue Cross will most likely cover it. You should also keep in mind that even if your insurance does cover the surgery, you may still be responsible for some out-of-pocket costs.

It’s always a good idea to call your insurance company and ask about coverage before scheduling any surgery. When you speak with them, be sure to mention any treatments they’ve already approved.

They’ll want to make sure they’re not approving something that’s already covered by another policy. Be prepared to provide information on the specifics of your surgery (including the surgeon) as well as what symptoms led up to the decision for treatment.

Some insurance companies only cover one surgical procedure per person every 12 months so if this isn’t your first surgery, they may refuse payment or require additional paperwork.

Things To Consider When Applying For Gynecomastia Coverage

  1. The first thing you need to consider is whether or not your Blue Cross plan considers gynecomastia a medically necessary surgery.
  2. If it is considered medically necessary, there are still some things you need to take into account.
  3. For example, some plans may have a dollar limit on how much they will cover for the surgery.
  4. Additionally, your plan may only cover a certain percentage of the total cost.
  5. Another thing to consider is whether or not you have a co-pay or deductible that would need to be met before coverage kicks in.
  6. Be sure to check with your Blue Cross representative to get all the details on your particular plan’s coverage.
  7. It’s important to note that Blue Cross insurance coverage will not always cover gynecomastia surgery due to individual policies being different and varied.
  8. So if your plan does not cover this specific procedure, then don’t fret because there are other ways to find funding for the operation!
  9. One option is through private insurance where a few plans do offer coverage of male breast reduction surgeries including Aetna and Cigna Healthcare (for specific individuals).
  10. Another option is a patient finance company such as CareCredit who offer financing options ranging from 12 months interest free financing up to 36 months depending on the type of financing offered by CareCredit and what your credit score looks like at the time you apply for one of their programs!
  11. Lastly, you can also try applying for grants and scholarships which can provide funding for medical procedures.
  12. You can search for these types of opportunities through websites such as Foundation Directory Online or Grants Listing Service where the latter offers grant listings by state.
  13. There are also online scholarship databases that allow you to search scholarships by state, city, major/college, etc., so be sure to explore all your options when trying to fund a surgical procedure!
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