We accept all major insurances with the exception of Medicaid. While we are fully out-of-network with all carriers, our dedicated insurance specialists handle every step of the pre-authorization and claims process on your behalf, so your focus stays on your care, not the paperwork.
We Handle the Complexity. You Focus on Recovery.
Being out-of-network doesn’t mean navigating insurance alone. Our administrative staff manages every step from initial submission through final resolution.
Submission
We prepare and submit all required documentation to your carrier, clinical photographs, letters of medical necessity, operative reports, and supporting clinical records.
Monitoring
We diligently track your pre-authorization status and follow up with your carrier at every stage until a formal decision is reached on your behalf.
Appeals
If an initial request is denied, our staff guides the full appeals process and ensures every eligible pathway is pursued.
The Women's Health and Cancer Rights Act of 1998
If your health plan covers mastectomy, it is federally required to cover the full scope of breast reconstruction, regardless of your insurer or our out-of-network status. Our team has deep expertise in WHCRA and uses it to ensure every eligible patient receives the comprehensive reconstructive care they are entitled to.
Reconstruction
All stages of breast reconstruction on the treated side.
Symmetry
Surgery on the opposite breast to achieve a balanced result.
Prostheses
External breast prosthetics as part of the reconstruction plan.
Complications
Treatment for post-mastectomy complications including lymphedema.
What May Be Covered by Insurance
While purely aesthetic procedures are generally not covered, many procedures addressing functional or health-
related issues qualify for partial or full insurance coverage.
Body Contouring & Tummy Tuck Procedures
We specialize in securing coverage for the medically necessary components of complex body contouring surgeries, particularly those following significant weight loss or pregnancy.
Repair of significant diastasis recti (abdominal muscle separation) causing back pain or core weakness may qualify for partial coverage
Functional impairment documented through medical records Body Lift After Bariatric Surgery
Panniculectomy (removal of heavy, hanging skin) after massive weight loss may be covered when skin causes recurrent infections or hygiene issues
Breast Reduction (Reduction Mammoplasty)
Breast reduction is one of the most frequently covered procedures when performed for medical necessity. Coverage is typically approved when surgery alleviates documented chronic symptoms caused by the weight of large breasts.
Chronic, debilitating neck, back, or shoulder pain
Recurrent skin irritation or rashes beneath the breast crease
Deep grooves or indentations in the shoulders from bra straps
Documented failure of non-surgical treatments
Start With a
Free Insurance Consultation
Insurance complexity should never be a barrier to the care you need. Our administrative staff will
review your policy, explain your options, and outline the entire pre-authorization process.
