Payment Plan Breast Augmentation

MENTOR PROMISE AND MENTOR PROMISE ENHANCED PROTECTION PLAN ...
The Basic Plan applies to MENTOR® MemoryGel® Breast Implants, MENTOR® MemoryGel® Xtra The Enhanced Plan Primary augmentation or primary reconstruction patients implanted on or after May 01, 2017, may the Enhanced Plan provides a one-time per patient maximum payment of $3,500 toward ... Visit Document

Please Complete & Submit Via Fax To 877-PDB-6173 (877-732-6173)
Please complete & submit via fax to 877-PDB-6173 (877-732-6173) MEMBER NAME: ID: *A Pre-Determination of Benefits is not a guarantee of payment and is contingent upon compliance with all Plan requirements. Breast Augmentation Laminotomy/Laminectomy/Spine & Back Surgery Scooter/Wheelchair ... Fetch Doc

Health And Welfare Trust - Wikipedia
A Health and welfare trust (HAWT) The payment made by the employer cannot be made on a voluntary or gratuitous basis. was carried out for a valid medical reason. Such surgeries included botox, facelifts, liposuction, rhinoplasty, breast augmentation as well as hair transplant/replacement ... Read Article

RECONSTRUCTIVE MAMMAPLASTY AND CONTRALATERAL BREAST SURGERY ...
Contralateral Breast Surgery is the modification of the opposite, unaffected breast, and may include reduction mammaplasty, mastopexy, prophylactic mastectomy, or a combination of these procedures. The operative plan and specific techniques for breast reconstruction and contralateral breast surgery must be tailored to fit the patient's ... Get Content Here

Cosmetic Surgery & Procedures Coverage Guidelines - AvMed
Breast augmentation (breast implants and pectoral implants) (see member contract for Cosmetic Surgery & Procedures Coverage Guidelines Page 3 of 3 6. Outcomes of abdominoplasty. Bazian Ltd., eds. London, UK: Wessex Institute for Health guideline is neither a guarantee of payment nor a ... Access This Document

Criteria For Gender Affirming Surgery: Chest Masculinization ...
Criteria for Gender Affirming Surgery: Chest Masculinization (mastectomy), Chest Feminization (breast augmentation) or Facial Surgery depending on your insurance plan. Our goal is to ensure your insurance carrier will provide payment for ... Get Document

HRD-93-5R Removal Of Breast Implants
Insurers' payment practices is discussed in this letter. Also in this letter, we are providing information we All breast augmentation procedures are viewed as cosmetic surgery. In exceptional cases, Each Blue Cross and Blue Shield Plan is an 5 GAO/HRD-93-5R, Removal of Breast Implants ... Get Doc

Cosmetic, Reconstructive And Restorative Procedures
PAyMent POlicieS Cosmetic, Reconstructive and Restorative Procedures - Breast implant removal - Breast reduction and reconstruction surgery - Destruction of vascular cutaneous lesions - excision or surgical planning of rhinophyma - Gynecomastia surgery - Ophthalmic plastic surgery (i.e., blepharoplasty, ptosis repair) ... Read Content

Breast Reconstruction Surgery - UHA
Breast Reconstruction Surgery Payment Policy Page 1 Breast Reconstruction Surgery All stages of reconstruction of the breast on which the mastectomy was performed Women's Health and Cancer Rights Act of 1998, § 713 (a): “In general - a group health plan, ... Fetch Content

Corporate Medical Policy Cosmetic And Reconstructive Procedures
Corporate Medical Policy Cosmetic and Reconstructive Procedures For New England Health Plan (NEHP) members an approved referral authorization is required. Following mastectomy and reconstruction for breast cancer, augmentation or reduction of the uninvolved breast is allowed for ... Read More

Paying For Plastic Surgery - YouTube
Experts say treat plastic surgery like a major purchase – explore all your options and plan ahead, including the selection of your surgeon. It’s important to know what payment option your ... View Video

Allergan - Wikipedia
Allergan plc is an Irish–tax registered 2016, after the Obama administration announced its plan to ban tax inversions, Pfizer terminated the the company announced the acquisition of Keller Medical, a company that manufactures devices for use during breast augmentation surgery. ... Read Article

ONLY WITH MENTOR® BREAST IMPLANTS Protection Beyond Compare
† Operating room and anesthesia charges to be given payment priority. In order to Protection Plan OUR FIRST PROMISE Your MENTOR® Breast Implants are guaranteed for your Brochure – Breast Augmentation with MENTOR ... Read Here

Plastic Surgeons In Tampa Fl 813-964-3016 Tampa Fl Plastic ...
Board Certified Plastic Surgeon Dr. Bart Rademaker is very experienced and qaulified in all aspects of all natural plastic surgery procedures from the vampire facelift to Breast Augmentation ... View Video

Medicare Part C Medical Coverage Policy - Blue Cross NC
Benefit payments are subject to contractual obligations of the Plan. If there is a conflict between the general policy Breast Implant Removal 2 3. Other complication of internal breast implant; including siliconomia, granuloma, interference with diagnosis of breast cancer, painful capsular ... Read Here

ForwardHealth Breast Pump Order, F-01153
FORWARDHEALTH. BREAST PUMP ORDER. Failure to supply the information requested by the form may result in denial of payment for the services. INSTRUCTIONS. Type or print clearly. This form is to be completed by the physician, given to the provider of the breast pump, and kept in the member’s ... Fetch Here

Highmark Inc., D/b/a HIGHMARK BLUE SHIELD
Highmark Inc., d/b/a HIGHMARK BLUE SHIELD ( the Plan ) mastectomy and breast cancer reconstruction. between the Plan payment and the provider s charge. J. Benefit Amounts, Durations, Limits, Deductibles and Coinsurance for Benefits Under the ... View Document

Prior Authorization Requirements - Health Insurance
Prior Authorization Requirements PLEASE READ: Authorization is not a confirmation of coverage or benefits. Payment of benefits remains subject to all health benefit plan terms, limits, conditions, exclusions, and • Breast Surgery for Augmentation or Reduction ... Visit Document

Service Description - Texas Medicaid & Health Insurance
Payment, regardless of authorization, is contingent on the member’s eligibility at the time service is rendered. NON-PAR PROVIDERS & FACILITIES REQUIRE AUTHORIZATION FOR ALL SERVICES EXCEPT WHERE INDICATED. • Breast Augmentation (except following mastectomy) • Breast Reduction ... View Doc

Cosmetic And Reconstructive Procedures - OXHP
Cosmetic and Reconstructive Procedures Page 1 of 7 When deciding coverage, the member specific benefit plan document must be referenced. The terms of the member 19324 Mammaplasty, augmentation; without prosthetic implant 19325 Mammaplasty, augmentation; with prosthetic implant ... Access Content

ONLY WITH MENTOR® BREAST IMPLANTS Protection Beyond Compare
† Operating room and anesthesia charges to be given payment priority. In order to Protection Plan OUR FIRST PROMISE Your MENTOR® Breast Implants are guaranteed for your and MENTOR ® Saline-fi lled Breast Implants are indicated for breast augmentation in women ... View Doc

INFORMATION ON COSMETIC AND RECONSTRUCTIVE SURGERY(S)
INFORMATION ON COSMETIC AND RECONSTRUCTIVE SURGERY(S) breast augmentation with implants) Revision or repair of complications Any benefits are subject to the payment of premiums for the date on which services are rendered. Medical ... Document Viewer