If you think dealing with man boobs couldn’t be any more frustrating, perhaps you haven’t contacted your insurance company about coverage yet. We’ve heard all kinds of stories-many of them discouraging-from our New York gynecomastia patients and online in forums like gynecomastia.org. Unfortunately, convincing your carrier to cover even a portion of the cost of male breast reduction surgery can be difficult.
In fact, you should probably consider yourself lucky if arranging for insurance coverage for gynecomastia surgery is difficult. Some insurance companies refuse to cover the procedure at all. As one poster put it on the gynecomastia.org forum, “My insurance company specifically excludes gyne surgery.”
Companies that will consider coverage for male breast reduction often present many hurdles. It’s not unusual for patients to give up pursuing the issue. Men who are up for the challenge usually have to demonstrate at least the following:
If you have insurance that does not automatically refuse coverage for gynecomastia surgery, it is possible to be successful with a claim. Having worked with nearly 2,000 New York gynecomastia patients over many years, our recommendations are as follows:
Even when you prepare your case strategically and complete all the steps, your insurance company may deny your request for coverage. Sadly, this isn’t unusual. Don’t be discouraged if this happens-instead, appeal the decision.
Like most plastic surgeons, we don’t accept insurance coverage as payment. But we will gladly advise you and help you plan to make a claim for reimbursement. This is one topic we can cover when you schedule your consultation.
Reach out to Dr. Jacobs today to schedule your consultation!