Does Kaiser Cover Gynecomastia Surgery? [Here’s What We Know]


Does Kaiser Cover Gynecomastia Surgery? This post answers this question.

If you’re looking to have gynecomastia surgery, you may be wondering if Kaiser will cover the cost of your procedure.

In some cases, they may, but it’s important to know that your specific case will not always be the same as everyone else’s, and because of this, you may end up having to pay out of pocket for your procedure regardless of Kaiser’s willingness to pay for it or not.

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Before you go through with scheduling your surgery, make sure you follow these steps in order to get Kaiser to cover the cost of your gynecomastia surgery

What Is Gynecomastia?

Gynecomastia is a condition that causes boys’ and men’s breasts to swell and become larger than normal. It can affect one or both sides of the chest, and may cause pain, tenderness, or nipple discharge.

Although it is usually not a serious health problem, it can be embarrassing and make you feel self-conscious. You might also experience physical discomfort if your gynecomastia continues to grow. Fortunately, there are treatments available.

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Surgery: There are two surgical options for treating gynecomastia: liposuction and mastectomy (removal of breast tissue).

Can I Handle The Scars?

Scars are a reality with any surgery, but with gynecomastia surgery, they are usually very minimal. In fact, most scars will be hidden underneath your clothing and will not be visible. However, it is important to keep in mind that every body heals differently.

Some men may have more visible scarring than others. You can speak to your surgeon about options for reducing the visibility of scars if you’re concerned about this issue.

Overview Of The Procedure

Gynecomastia surgery is a procedure to remove excess breast tissue in men. It can be done through liposuction, excision, or a combination of both. The surgery is usually done as an outpatient procedure, which means you won’t have to stay overnight in the hospital.

Recovery time is usually short, and you can expect to see results within a few weeks. You’ll need someone to drive you home after your surgery. You should avoid strenuous activity for about two weeks after your surgery because it may cause bleeding.

If you feel any pain or discomfort, contact your doctor right away so they can help with any issues that arise during recovery.

How To Raise Financing For Gynecomastia Surgery

Gynecomastia surgery can be expensive, but there are ways to finance the procedure. You can start by looking into government or private grants.

You can also look into medical loans, which are offered by many hospitals and financial institutions. You can even set up a GoFundMe page to raise money from friends and family.

Whatever route you decide to take, make sure you do your research and compare different options before making a decision.

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Also remember that these steps may not be applicable in every case, so if you’re still unable to get financing for your surgery after following these steps, don’t give up hope!

Does Kaiser Cover Gynecomastia Surgery?

Kaiser is one of the largest health insurance companies in the United States. They offer a variety of health plans, including coverage for gynecomastia surgery. In order to get Kaiser to cover your surgery, you will need to have a referral from your primary care physician.

You will also need to get pre-authorization from Kaiser prior to scheduling your surgery. After receiving your authorization letter, contact Kaiser’s provider information line at 800-464-4000.

From there, they can tell you what the next steps are and help schedule an appointment with an appropriate surgeon who accepts Kaiser’s insurance.

While Kaiser does not cover elective surgery, they will cover surgery that is medically necessary. In order to get them to cover your gynecomastia surgery, you’ll need to get a referral from your primary care physician.

Once you have a referral, you’ll need to get pre-authorization from Kaiser. This can be a lengthy process, so be sure to start it as soon as possible. If you have any questions along the way, don’t hesitate to reach out to a Kaiser representative for help.

Understanding Why Kaiser Won’t Cover It

It’s important to understand why your insurance company won’t cover a particular procedure before you get too far down the road of trying to get them to cover it.

In the case of gynecomastia surgery, Kaiser specifically excludes this procedure from coverage because they consider it a cosmetic surgery.

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There are many reasons for this, including that it isn’t medically necessary and that it can lead to more serious problems later on in life if not done correctly.

The only time Kaiser will cover this type of surgery is if the patient has cancerous breast tissue growth and a mastectomy is needed as part of their treatment plan.

How Much Does Gynecomastia Surgery Cost With Kaiser Insurance?

The average cost of gynecomastia surgery is $3,000, but it can range from $2,000 to $9,000. If you have Kaiser insurance, you may be wondering how much your surgery will cost.

Unfortunately, we don’t know the answer because there are too many variables in play.

For example, what type of surgeon do you want? What kind of anesthesia do you want? Do you need any other procedures done at the same time? Once we answer these questions, we’ll be able to tell you how much your surgery will cost with Kaiser Insurance.

How To Approach Your Doctor For A Referral

  1. The first step is to consult with your regular doctor.
  2. Talk to him or her about your concerns and explain that you would like a referral to a specialist.
  3. If your doctor is unsure about whether or not your insurance will cover the surgery, you can ask them to call Kaiser and inquire about pre-authorization.
  4. Once you have a referral, you will need to schedule an appointment with a plastic surgeon who is in-network with Kaiser.
  5. At your consultation, be sure to bring your insurance card and any documentation that you have regarding your coverage.
  6. The surgeon will likely give you a quote for the surgery, which you can then submit to Kaiser for reimbursement.

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