64-year-old male patient three months following his bilateral gynecomastia surgery
Can insurance cover gynecomastia surgery? It can, but they do make you jump through some hoops. First, you must meet one of two symptoms. The first is breast tenderness that persists beyond a reasonable amount of time. Prolonged breast pain is required to ensure that your pain is not just a result of mechanical trauma. You will have to undergo a mammogram and MRI to rule out any abnormal or tumor-like growth before being considered a good candidate for this breast reduction surgery. The second symptom requires you to develop insecurities regarding your breasts’ size or growth. Insecurities regarding the feminization of the breasts typically present as a teenager who avoids sports because he is insecure about being shirtless! Suppose you are having psychological issues regarding your breast growth and wish to minimize the cost of gynecomastia surgery. In that case, you must be evaluated by a psychiatrist before being approved for gynecomastia surgery.
Can insurance cover gynecomastia surgery? Gynecomastia surgery can be covered by insurance if you demonstrate overgrowth of your breasts that become full and round. The fullness of the breasts makes them appear feminized and is the main driving force for most men to pursue gynecomastia surgery. Although insurance policies may vary in coverage for reduction surgery for breast enlargement, they universally require both the signs of a feminized breast but also one of the two symptoms described above.
To optimally treat your gynecomastia, you will require a combination of both direct removal of glandular breast tissue located under your nipple and areola as well as liposuction of the chest periphery. Herein lies the only glitch in insurance coverage. Although all insurance companies will cover the excision component of the gynecomastia surgery, some may deny the liposuction component of gynecomastia. Although this may be included in the global fee, some facilities may not possess liposuction tools. Liposuction may be critical when preoperative breast asymmetry is present. This may mean you must pay out of pocket for the liposuction component. Although gynecomastia patients may desire this cosmetic surgery, surgical treatment involving the removal of breast tissues and fat deposits may be covered by insurance providers.
Suppose you are interested in finding out more about the treatment of gynecomastia surgery and gynecomastia surgery costs. In that case, we encourage you to consult with one of our Surgisculpt surgeons. Our surgeons will try to secure coverage for your surgical costs through your health insurance company.
