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Anyone had gyno surgury coverd by insurance help!

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  • Anyone had gyno surgury coverd by insurance help!

    so I am going to see a surgeon that my doctor reffered me to get operated on by. He says that he will run a few test and check out the gyno to send a letter to my insurance company to get it covered.

    He mentioned they will do a mammogram but I was wondering if anyone knows if they will check testosterone levels? Anyone who has had this covered by insurance can help out I would greatly appreciate it. thanks

  • #2
    You will see the surgion and he wil probably tell you he cant do anything and its normal. Thats what happend to me. When it happend I went off on him and told him to take it out its hurts and I cant function with my daily life anymore. Also my grandma had brest caner and I scared of getting it. He did a few fallow ups and a mamorgram and finally I got it taken care of. Just dont take no for an answer. My insurance tryed to turn me down 2 times. Tell him to word it bi lateral breast biopsy. Hope this helps. A few tears doesnt hurt ether. Tell him it leaks also.

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    • #3
      thanks bro..my doc is cool and the surgeon a friend of his. my doc said just tell him it is unbearable pain. .......did they run any test panels?

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      • #4
        I had it done when I was about 16. My insurance paid for it 100%. Keep in mind that i was only SIXTEEN, but my mom(without me knowing until afterward) wrote a letter to the insurance company. I read a copy after she mailed t to them and it literally brought tears to my eyes. She wrote about me making excuses for swim class because I was embarassed, wouldn't take my shirt off around anyone, wore really baggy clothes to cover it up,they hurt very badly, etc. Kids would slap my chest just messing around being dudes you know, and it hurt CRAZY bad. Nobody knew I had it though, thankfully. It was BAD btw. I only weighed like 140lbs, yet had the chest of a 180lb fat kid. All is well now, but I am still trying to re-shape my chest. It is a little disformed because so much tissue had to be removed. My lower outer portion of my pecs actually dent in due to the lack of tissue there. You can't even notice really, but when I flex it is really noticeable. Oh well, someday they will be totally re-shaped and look better.
        use juicyjayrep10 to get 10% OFF your purchase at ergopep.com!!!!

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        • #5
          All they did was a mamogram a ultra sound those are just routine before the surgery and they did some blood work to check my blood clotting to make sure it would stop bleeding and another test to check my red and white cells. they did the blood test 3 days befoe my surgery. Honestly I was so nervus the night before my surgery. In my opinion getting a cavity filled is worse then the gyno surgery. I went local with sudation. I was able to stand up and get dressed and walk right after the surgery. I dont think theres any need to do general and be completely out unless your a really extream case. Just so you now its up to your medical to deny you not the surgion you just might have to do a lil fighting for it but just dont take no for an answer. Also in 98 there was something passed that the medical has to cover it if your nips leak it has something to do with a breast cancer law and they have to remove it and check it for cncer as they did to mine. Remember to tell them to word it bi lateral breast biopsy and not bilateral breast reduction.

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          • #6
            thanks bro

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            • #7
              Yes but I am Canadian gotta love universal health care err socialist Healthcare as the fear mongers say.

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              • #8
                I had mine covered but it was in 1996 ..
                www.NJBodybuilding.com www.NPCNewJersey.com

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                • #9
                  It's going to come down to how it's coded when it's sent to your insurance company. A lot of them view plastic surgery (any plastic surgery) as elective, so your doc is going to have to make sure he makes it a medical necessity thing. Be prepared to argue with them. Good luck!
                  SnakeBite Racing

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                  • #10
                    thanks for everyone responses. I got it covered and am 2 weeks post op. Looks great. No run ins with insurance. Labeled it a bi-lateral breast mass biopsy and was good to go.

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                    • #11
                      Who labeled it a bi-lateral breast biopsy? General practitioner or a specialist?
                      WARNING: I'm probably not going to be nice in my responses. This is just for role playing entertainment and fictional.

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                      • #12
                        the doc was a general surgeon, but specialized in breast reconstruction at a woman's breast cancer center. She had preformed the surgery on males many times before.

                        If I went to a cosmetic surgeon I would of had no chance.

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                        • #13
                          Shit, I was planning on going to a cosmetic surgeon. Now I gotta find a breast cancer facility.
                          WARNING: I'm probably not going to be nice in my responses. This is just for role playing entertainment and fictional.

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                          • #14
                            Originally posted by TrashMan View Post
                            Shit, I was planning on going to a cosmetic surgeon. Now I gotta find a breast cancer facility.
                            haha....yeah, me too.

                            heck if my ins covers it maybe I should visit the same doc as you laskerja

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                            • #15
                              You wouldn't happen to know the procedure code would you? I called my insurance company to find out if they will cover it but they need the procedure code.
                              WARNING: I'm probably not going to be nice in my responses. This is just for role playing entertainment and fictional.

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