HARRIS PLASTIC SURGERY

Plastic Surgery
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Does Insurance Cover Breast Reconstruction?

Medically necessary breast reduction surgery may be indicated for chronic skin conditions like shoulder grooving with ulcerations.

Medically Necessary Breast Reduction: NYSHIP Requirements for Skin Conditions

Someone who has had a mastectomy relating to breast cancer is also someone who’s eligible for breast reconstruction.

NYSHIP: Who’s Eligible for Breast Reconstruction?

Someone who is eligible for breast reduction surgery may have chronic neck and shoulder pain that doesn’t resolve with treatment.

Who is Eligible for Breast Reduction Under NYSHIP Chronic Pain Criteria?

Who Is Eligible for NYSHIP Revision Breast Reconstruction?

Patient using NYSHIP Empire Plan for plastic surgery

Using Empire Plan Benefits to Cover Plastic Surgery

Does NYSHIP Cover Breast Reduction?

Breast reconstruction surgery—as pictured above—frequently falls under Empire Plan elective surgery coverage because it is medically necessary per NY state and federal laws.

Empire Plan Elective Surgery Coverage: Medically Necessary vs. Cosmetic

Breast reconstruction is typically covered under the Empire Plan when it’s related to a mastectomy.

What Does the Empire Plan Cover? A List of Plastic Surgery Options

You’re not limited to in-network Empire Plan plastic surgeons. An out-of-network surgeon may be a better choice.

What to Look for in Empire Plan Plastic Surgeons

Let's have a conversation about you

Bringing Patient Advocacy to Breast Reduction and Reconstruction

At Harris Plastic Surgery, every consultation includes a thorough evaluation of your Empire Plan coverage for breast reduction surgery. We take a concierge approach to treatment, which includes working to minimize your out-of-pocket costs. Contact us to schedule a consult!

HARRIS PLASTIC SURGERY

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Let's have a conversation about you

Bringing Patient Advocacy to Breast Reduction and Reconstruction

Plastic Surgery
Blog Articles