Most medical and surgical treatments for benign gynecomastia are considered cosmetic. Medical treatments and surgery to alter a perceived abnormal appearance, or for psychological reasons, are considered cosmetic and are not covered. The fact that a Covered Person may suffer psychological consequences or socially avoidant behavior as a result of benign gynecomastia does not classify surgery (or other procedures done to relieve such consequences or behavior) as a reconstructive procedure.
Full Answer
Is gyno from puberty covered by insurance?
Will Insurance Pay for Gynecomastia Surgery? Male breast reduction surgery is largely cosmetic. Most medical insurance plans do not cover aesthetic procedures. It is possible that, under some circumstances, a plan will cover the procedure.May 18, 2021
Why is gynecomastia not covered by insurance?
When treatment for Gynecomastia is not covered Medical treatments and surgery to alter a perceived abnormal appearance, or for psychological reasons, are considered cosmetic and are not covered.
What are the treatment options for gynecomastia?
Two gynecomastia surgery options are:Liposuction. This surgery removes breast fat but not the breast gland tissue itself.Mastectomy. This type of surgery removes the breast gland tissue. The surgery is often done using only small incisions. This less invasive type of surgery involves less recovery time.Oct 16, 2021
Can gynecomastia be medically necessary?
According to the provisions of California law (SB 255, 2012), the workup and full treatment of gynecomastia associated with known or suspected breast cancer is considered medically necessary.Mar 1, 2007
Does tamoxifen help gyno?
For boys with severe gynecomastia that is causing substantial tenderness or embarrassment, a short course of a drug called tamoxifen (sample brand name: Nolvadex) or raloxifene (brand name: Evista) may be recommended. These drugs block the effects of estrogen in the body and can reduce the size of the breasts somewhat.Jun 3, 2021
Is it worth getting gynecomastia surgery?
If gynecomastia weighs heavily on your self-esteem and negatively affects your quality of life, surgery may be a healthy consideration. The procedure is fast, scarring is minimal, and the results are permanent. Patients experience increased confidence as a result of their more masculine chest appearance.Jun 29, 2017
Can Serms get rid of gyno?
The systematic review7 concluded that serum estrogen receptor modulators (SERMS, e.g. tamoxifen), aromatase inhibitors (AIs, e.g. anastrazole), radiotherapy (RT) or both, prevent or reduce gynecomastia and breast pain associated with antiandrogen (AA) use.Mar 28, 2011
Can you get rid of gynecomastia without surgery?
Gynecomastia usually requires no treatment and goes away on its own. However, if it results from an underlying medical condition, that condition must be treated to resolve the breast enlargement.
Can men take tamoxifen citrate?
Tamoxifen is an off-label option to treat men for breast cancer, infertility, and idiopathic gynecomastia. Lately, tamoxifen has been proposed as a treatment to prevent gynecomastia in prostate cancer patients receiving antiandrogen therapy.
Does Medicare cover breast reduction?
Medicare will cover breast reduction when it's medically necessary. Medically necessary situations include reconstruction after a mastectomy or reduction to help with pain. You can get coverage through original Medicare or a Medicare Advantage plan.Jun 30, 2020
Does Blue Cross Blue Shield of California cover gynecomastia surgery?
BCBSNC will cover Reconstructive Breast Surgery after Mastectomy, Surgical Treatment of Gynecomastia, Reduction Mammaplasty for Breast Related Symptoms, Risk-Reducing Mastectomy, and Surgical Management of Breast Implants when it is medically necessary because the criteria shown below have been met.Sep 15, 2017
Does Blue Cross Blue Shield of Alabama cover gynecomastia surgery?
Blue Advantage will treat Gynecomastia surgery as a non-covered benefit and as cosmetic. Blue Advantage does not approve or deny procedures, services, testing, or equipment for our members. Our decisions concern coverage only.