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How To Get Gynecomastia Surgery Covered by Insurance

How To Get Gynecomastia Surgery Covered by Insurance

How To Get Gynecomastia Surgery Covered by Insurance-Most health insurance policies in India provide financial assistance during a medical emergency and for life-threatening diseases, but not cosmetic procedures. If you wish to avail health insurance for gynecomastia surgery, you should know that the coverage is subject to some terms and conditions. 

How To Get Gynecomastia Surgery Covered by Insurance-Gynecomastia, also known as breast enlargement, is a condition in which breast tissues in males start to grow abnormally due to hormonal imbalance. And if gynecomastia is causing physical discomfort and other health issues, you can most certainly use the health insurance policy to cover the treatment expense. Let’s discuss this further and get a clear understanding of when and how gynecomastia surgery treatment cost is payable by insurance. 

How To Get Gynecomastia Surgery Covered Details

How To Get Gynecomastia Surgery Covered by Insurance-For many men, the decision to have gynecomastia surgery, in order to achieve the body shape and appearance they want, can be affected by the gynecomastia surgery cost and whether not the surgery is within their budget.

How To Get Gynecomastia Surgery Covered by Insurance

How To Get Gynecomastia Surgery Covered by Insurance-Dr. Joseph T. Cruise, top Los Angeles gynecomastia surgeon, does not want to see anyone deprived of the results they deserve simply because of the gynecomastia surgery cost. If you are struggling financially, please talk to Dr. Cruise’s staff to find out what options may be available to assist you with the costs associated with having surgery.

Gynecomastia surgery is a long-term investment in yourself. Patients often report results are more than skin-deep, results change every aspect of their lives. A well-proportioned, masculine chest can alleviate health issues and anxieties that a patient has dealt with for years, and the surgery often creates a rippling effect of self-confidence and overall satisfaction throughout a person’s life. Gynecomastia surgery to treat male breasts is not a vain or frivolous procedure; it is a statement of self-worth, a declaration of a man’s desire to reflect on the outside the man he feels like on the inside. For most men suffering with man boobs, the gynecomastia surgery cost is worth every penny. It can truly be a life changing procedure, which will improve nearly every aspect of a man’s life.

Does Insurance Cover Gynecomastia Surgery? 

How To Get Gynecomastia Surgery Covered by Insurance-Generally, you cannot avail health insurance for gynecomastia surgery. The primary reason behind the exclusion is that the surgery is largely cosmetic. In most cases, people are not eligible for insurance coverage because there is no medical concern associated with the condition. 

However, each insurance policy is different which means that you may be able to cover the cost of gynecomastia surgery with insurance entirely or partly. 

How to Get Gynecomastia Surgery Covered by Insurance?

How To Get Gynecomastia Surgery Covered by Insurance-A doctor most certainly understands that as a man, having enlarged breasts is very disturbing. But insurance companies do not cover gynecomastia surgery costs for emotional reasons alone. There are certain conditions that need to be met to file a claim and get approval for male breast reduction surgery. 

The primary condition that needs to be met is that the patient has true gynecomastia (glandular tissues) or a combination of fat tissues and glandular tissues. In the case of pseudogynecomastia (only fat tissues), the treatment is considered cosmetic not medically necessary. 

How To Get Gynecomastia Surgery Covered by Insurance-If gynecomastia onset started during puberty or adolescence and has persisted for 2 years, you can have gynecomastia surgery covered by insurance by fulfilling the following conditions- 

  • The gynecomastia reaches grade II, III, or IV.
  • The increased size of breasts causes pain, despite the usage of analgesics.
  • You have discontinued the drugs that induced hormonal imbalance that led to gynecomastia for one year or more. 
  • Gynecomastia persists despite addressing the underlying cause. 
  • Hormonal causes have been excluded as the cause of breast enlargement. 
  • Photos of the male breasts from front and side angles have been submitted. 

How To Get Gynecomastia Surgery Covered by Insurance-Other than the above-mentioned scenarios, if gynecomastia was caused due to Klinefelter Syndrome or there are chances of breast cancer in males, the surgery will be covered by insurance. 

The surgery will be considered cosmetic in nature in the following scenarios- 

  • When performed solely to improve the appearance. 
  • When performed to address psychological and psychosocial concerns. 

What expenses are covered by health insurance for gynecomastia surgery?

How To Get Gynecomastia Surgery Covered by Insurance-Depending on the insurance provider, the expenses covered by insurance for gynecomastia surgery might vary. Overall, the following costs will be covered by insurance- 

  • Doctor’s fee 
  • Anesthetist’s fee 
  • Diagnostic tests and evaluations 
  • Hospital admission & discharge 
  • Operation theatre charges 
  • ICU room charges 
  • Cost of medicines (pre and post-surgery)
  • Surgical tools and devices 
  • Medical consumables 
  • Room rent 
  • Post-surgery follow-ups 
  • Support and care (in some cases)

How To Get Gynecomastia Surgery Covered by Insurance-The insurance policy can be customized by the patient to get ample coverage for gynecomastia surgery and for other conditions that you may be prone to. It is important that you purchase a policy considering all factors so that in the future if you do need the treatment, the sum insured is enough to cover the treatment cost. 

Contact Pristyn Care to Undergo Gynecomastia Surgery with or without Insurance 

At Pristyn Care, our plastic surgeons perform gynecomastia surgery for cosmetic as well as medical reasons. Whether you have insurance or not, you can undergo the procedure without worrying about your budget. 

We accept all major health insurance policies and provide assistance to file a claim and get approval from the insurance company. Our support team will also explain if there are some clauses, such as coinsurance, copayment, or sub-limits on the policy that you should know. As gynecomastia surgery or male breast reduction surgery is performed on an outpatient basis, we make sure that the entire insurance claim is settled within the same day. 

How To Get Gynecomastia Surgery Covered by Insurance-If a patient doesn’t have health insurance, we offer flexible payment options, including credit card, debit card, cheque, and No-Cost EMI. The No-Cost EMI service is started to ensure that if a patient requires immediate treatment but doesn’t have sufficient funds, he can opt for this service. It allows the patient to undergo surgery in the present and pay for it in easy installments according to their convenience. 

How To Get Gynecomastia Surgery Covered by Insurance-You can give us a call or fill out the appointment form to talk to our medical coordinators. 

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