TITTY TUESDAY

[ramseycat]

Yes here in Australia, but I don't know about the US. The specialist here said the particular item number is covered by the health funds. I rang up my health fund and the item number is covered.

They cover a reduction and lift if its medically necessary. But not just do your boobs look better.

Oh shit Rams you really think that the doctors are going to say, 'she/he is doing it for vanity'? The item number is covered under insurance. I dare say it is probably the same in the US, but I am not there so I am not 100%. Get with the program soldier, you do understand how the health system works right?

Are you new? I have worked in the insurance industry for 25 years. The first 17 in healthcare. When a lady wants a breast reduction/lift here their doctor has to send in detailed medical reports documenting medical necessity. Severe back and neck strain for example. They also have to send in photos of the breasts. Then the file is reviewed by one if the doctors in the review committee to make a decision. I gave seen plenty of cases turned down. You can't just "ring" up your insurance company and say hey is this procedure covered? And the doctor can't just say its medically necessary. He has to have documention to back it up.