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Insurance

At Richmond Aesthetic Surgery, we know insurance can be confusing, especially when it comes to breast procedures. Whether you’re exploring surgery for medical or cosmetic reasons, our experienced team is here to help verify your benefits, guide you through requirements, and answer your questions.

Does Insurance Cover Breast Surgery?

Insurance coverage for breast surgery depends on whether the procedure is considered medically necessary. Surgeries such as breast reduction (to alleviate chronic pain or physical discomfort), breast reconstruction (following mastectomy or trauma), and correction of congenital breast asymmetry are often eligible for insurance coverage with proper documentation. On the other hand, elective procedures like breast augmentation or cosmetic breast lifts are typically not covered by insurance providers. Our team is happy to help you determine whether your specific case may qualify for coverage.

What Insurance Providers Are Accepted?

We work with many major insurance providers and can help you determine your eligibility for coverage. Below are some of the primary insurance carriers we accept:

Anthem Blue Cross Blue Shield (BCBS)

As one of the most widely used providers in Virginia, Anthem/BCBS often covers reconstructive breast procedures and other surgeries deemed medically necessary.

Aetna

Aetna plans may provide benefits for procedures that support physical health or recovery from illness or surgery.

Cigna

Cigna policies often require pre-authorization and documentation for surgical procedures. We’re familiar with these requirements and can help streamline the process.

United Healthcare

With a range of plan options, United Healthcare may offer coverage for medically necessary breast surgeries depending on your individual benefits.

We also accept plans from many additional insurance carriers. If your provider isn’t listed here, please contact our office. Our team is happy to help you verify your benefits and explore your options.

Verifying Coverage & Medical Necessity

The first step in understanding your insurance benefits is contacting our office with your insurance information. We’ll determine if your plan is in-network and guide you through any pre-authorization steps that may be required.

To qualify as medically necessary, your procedure typically must address a health-related issue. For breast surgery, this may include relieving chronic back or shoulder pain, treating persistent rashes, or reconstructing the breasts after cancer treatment. Insurance companies often require supporting documentation, such as a physician referral, medical history, photos, or records of conservative treatments.

Our knowledgeable staff will help you gather the necessary information and submit it correctly to improve your chances of approval.

Need Help Navigating Insurance or Exploring Payment Options?

If your procedure isn’t covered by insurance or you’re exploring elective surgery options, our team can walk you through alternative solutions. We offer financing options to help make your treatment more affordable and accessible. Whether you’re using insurance or paying out-of-pocket, we’re here to ensure your experience is smooth, transparent, and stress-free.

Contact us if you have questions about your insurance coverage or would like assistance reviewing your benefits.