Does Health Insurance Cover Gynecomastia in Los Angeles, CA?

Does Health Insurance Cover Gynecomastia in Los Angeles, CA?

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Gynecomastia insurance will not be provided to a Los Angeles patient if the surgery is for cosmetic reasons only, meaning the condition is not life threatening.

Some health insurance companies will cover the cost of gynecomastia surgery in LA, while other insurance companies will classify it as a non-essential or cosmetic procedure and will not cover it. We recommended to check your policy and contact your insurer to find out if you are covered or not.

For more information about health insurance coverage for gynecomastia surgery in Los Angeles, please fill out our contact form to receive more accurate information. You may also call our office at 310-570-2402 to speak to one of our Patient Advisors and schedule your no-obligation gynecomastia consultation today.

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When Is Insurance Coverage For Gynecomastia Surgery Provided

Before accepting an insurance coverage for gynecomastia surgery, the insurance company in Los Angeles would want the doctor to do extensive medical check-ups and laboratory tests to make sure that it is in fact a necessity.

Insurance coverage may be provided for gynecomastia surgery for LA patients if:

  • You have undergone diagnosis and tests by a qualified physician determining that you are suffering from discomfort and pain.
  • Tests and diagnosis confirming there is abnormality and the only recourse is surgery.
  • Your gynecomastia condition has affected your daily functions and has led to physical and physiological problems.
  • You have all of the proper paperwork to present to insurance companies for your claim.

There are a lot of other terms you will need trying to get gynecomastia insurance coverage, but what it all comes down to is that your condition must be serious to the point that you are not able to function normally anymore. One example is that your gynecomastia must be life threatening.

When Is Insurance Coverage For Gynecomastia Surgery NOT Provided

Your health insurance company will deny coverage for gynecomastia surgery for Los Angeles patients if it is done for cosmetic purposes and not something that is done to stop a life threatening condition. So if your gynecomastia is not associated with a serious and life threatening medical condition like extreme pain or a cancerous tumour, the chances of getting approval for insurance coverage for gynecomastia surgery in Los Angeles are low.

Insurance coverage may NOT be provided for gynecomastia surgery for LA patients if:

  • If your reasons for the surgery is psychological in nature (i.e., boost your self-confidence)
  • There is no medical emergency involved
  • Your condition is not life threatening

Once you get denied for gynecomastia surgery for the first time, you’ll need to appeal the decision and get in touch with your surgeon who will help make the case for you. You or your surgeon will have to provide additional lab test results, scans that prove there is a potential health risk, show proof that you are experiencing a lot of pain to insurance companies to cover your gynecomastia surgery.

Are You Qualified for Gynecomastia Insurance?

You will not get insurance coverage if:

  • If your rationale for the surgery is psychological in nature (i.e., boost your self-confidence)
  • There is no medical emergency involved

You will be qualified for insurance if:

  • The fatty tissue is malignant
  • Grade III or Grade IV gynecomastia and 6 months of medical treatment has been tried with no success
  • There is tightness and pain in the chest
  • There is discomfort

Dr. Douglas Steinbrech also offers financing options for qualified patients for gynecomastia surgery in Los Angeles. Please contact our office to learn more about the available financing options offered.

For more information about insurance coverage for gynecomastia in Los Angeles, please fill out our contact form to set up your no-obligation consultation for male breast reduction today. You may also call our office at 310-570-2402 to speak to one of our Patient Advisors about gynecomastia.

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