Insurance criteria for breast reduction

    • [DOC File]ΕΦΚΑ - Ιστότοπος τ.IKA-ETAM

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      Compulsory Insurance does not depend on the good will of the employer or the empoyee and starts on the very first day of employment. Every beneficiary should check that their insurance scheme is the right one and should make sure that their employer has paid insurance contributions for every working day and for the whole sum of their pay.


    • [DOC File]Volume 19, Issue 21 - Virginia

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      1. If prior authorized, breast reconstruction surgery and prostheses may be covered following the medically necessary complete or partial removal of a breast for any medical reason. Breast reductions shall be covered, if prior authorized, for all medically necessary indications. Such procedures shall be considered noncosmetic. 2. Breast ...


    • DEPO-PROVERA PROTOCOL

      DMPA is an appropriate method for non-lactating postpartum and post-abortal women and can be started immediately after completion of the pregnancy. Postpartum women who are breast-feeding should not be given DMPA until 6 or more weeks after delivery to allow for establishment of lactation.


    • Mammapl crit v7

      Reduction mammoplasty involves removal of glandular, fatty, and skin tissue from the breast. Women presenting various forms of breast hypertrophy (for example, macromastia or gigantomastia) accompanied by persistent clinical signs and symptoms that adversely affect health are the principal candidates for breast reduction.


    • [DOC File]Reg2Col.DOT - Virginia

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      1. If prior authorized, breast reconstruction surgery and prostheses may be covered following the medically necessary complete or partial removal of a breast for any medical reason. Breast reductions shall be covered, if prior authorized, for all medically necessary indications. Such procedures shall be considered noncosmetic. 2. Breast ...


    • [DOC File]Breast Reduction Surgery - State of Louisiana

      https://info.5y1.org/insurance-criteria-for-breast-reduction_1_008fac.html

      All plans cover breast reduction surgeries that qualify under the Women’s Health and Cancer Rights Act of 1998. If a surgery does not qualify under the Women’s Health and Cancer Rights Act of 1998, some plans may allow breast reduction surgery if we determine the surgery will treat a physiologic functional impairment.



    • Short Term Checklist

      Must provide coverage for reconstructive breast surgery resulting from a mastectomy that resulted from disease, illness or injury RCW 48.21.230(2) Coverage for all stages of one reconstructive breast reduction on the nondiseased breast to make it equal in size with the diseased breast after definitive reconstructive surgery on the diseased ...


    • [DOC File]WISEWOMAN Program Guidance Document

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      (also allowed by NBCCEDP) 99385 Initial comprehensive preventive medicine evaluation and management – history, examination, counseling/guidance, risk factor reduction, ordering of appropriate immunizations, lab procedures, etc. – 18-39 years of age (For use by grantees that have received approval from CDC to screen women less than 40 years ...


    • Breast Procedures - Anthem

      Breast implant, originally inserted for reconstructive purposes, is associated with a significantly altered appearance, such that the goals of reconstruction (i.e., to return the patient to a whole) are not reached. Request is for removal of breast implants unrelated to a history of mastectomy, lumpectomy or diagnosis of breast cancer


    • Reduction Mammoplasty - Anthem

      Reduction is requested for: Poor posture. Breast asymmetry. Pendulousness. Problems with clothes fitting properly. Nipple-areola distortion. Psychological considerations. Request is for the use of liposuction to perform a breast reduction. Member’s height: Member’s weight: Size and shape of the breasts:


    • [DOC File]Concise Purpose: To evaluate whether the criteria used by ...

      https://info.5y1.org/insurance-criteria-for-breast-reduction_1_c75909.html

      Increasingly, insurance companies are denying coverage for this procedure based on company medical policies. These policies are ostensibly intended to distinguish cosmetic from medically necessary reductions. The correlation of insurance company criteria to the scientifically established indications for reduction mammoplasty has never been studied.


    • [DOC File]C&P Service Clinician's Guide - Veterans Affairs

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      12. Breast: Describe masses, scars, nipple discharge, skin abnormalities. Give date of last mammogram, if any. Describe any breast surgery (with approximate date) and residuals. 13. Cardiovascular : NOTE: If there is evidence of a cardiovascular disease, or one is claimed, refer to appropriate worksheet(s). a.


    • [DOC File]Ratings for Special Purposes - Veterans Affairs

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      (4) Permanently bedridden. The criteria for rating are contained in §3.352(a). Where possible, determinations should be on the basis of permanently bedridden rather than for need of aid and attendance (except where 38 U.S.C. 1114(r) is involved) to avoid reduction during hospitalization where aid and attendance is provided in kind.


    • [DOCX File]MEDICAL NECESSITY LETTER

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      Insurance Company Name, Address, City, State. Re:Patient Name, DOB, ID # ICD-10 Codes: (list codes) This letter is in regards to my patient and your subscriber, First, Last Name, to request full coverage for medically-indicated hereditary melanoma genetic testing to be performed by Ambry Genetics Corporation.


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