Do you want to know how to get insurance to pay for gyno surgery? Insurance will pay for gyno surgery as long you provide evidence to convince them that the procedure is for medical purposes and not just for cosmetics. Gyno is the shortened term for “gynecomastia,” which is the over-development of breast tissue in males.
Most of the time, the degree of this condition gets bad enough to affect the individuals’ emotional and mental well-being severely.
However, insurance companies treat this condition as completely cosmetic unless it starts to lead to complications and negatively impacts the quality of life of the insured. We will be diving in on what gynecomastia is, how it is treated or prevented, and how to get insurance to cover surgery costs.
Gyno is caused by the hormonal imbalance that occurs within the body. The imbalance might be caused by several reasons, which I will discuss later on. Keep reading this article to learn more about this topic.
What Is Gynecomastia
So gynecomastia, what exactly is it? It was already mentioned above that gynecomastia is a condition that only happens in males. This condition causes the abnormal and over development of the male breast tissue.
However, most of the time, it is not a cause for medical concern as it is a psychological one. This causes insecurity in teenagers and men. Others might not be able to empathize with people who have this condition, but it could reduce the quality of life of a person.
It can have some psychological effects such as anxiety, very low self-esteem, and even depression. Gynecomastia could also cause tenderness and pain to the affected area. The condition is caused by the imbalance between the testosterone and estrogen hormones within the body.
It could appear bilaterally, meaning both sides have the same amount of over-development. This could also appear unilaterally, having only one side with the condition or both but with one side worse than the other. Gynecomastia can be permanent or temporary, depending on the specific case. If you want to know how to get insurance to pay for gyno surgery, just continue reading.
Causes Of Gynecomastia
We already talked about how gynecomastia is caused by hormonal imbalances that happen within the body. Now, the question is what causes these hormonal imbalances. The most common causes of the imbalances that lead to gynecomastia will be listed and elaborated on below.
#1. Increased estrogen levels of infants
Baby boys can have a very mild case of gynecomastia that usually goes away on its own as the baby matures. This is because of the hormonal imbalance caused by the increased estrogen a baby gets from his mother.
#2. Puberty hormonal imbalances
Most cases of gynecomastia happen to teenagers. This is because, as the body changes from child to adulthood, hormonal imbalances can occur. The condition usually goes away on its own after the body balances and sorts everything out unless it doesn’t, which in this case, you need to get checked.
#3. Medical conditions
Hormonal imbalances caused by medical conditions can also lead to gynecomastia. For example, conditions such as obesity, liver disease, kidney failure, hyperthyroidism, hypogonadism, and hypoandrogenism, can make your testosterone levels plummet and increase your estrogen levels.
#4. Side effects from prescription drugs or PEDs
Lastly, these hormonal imbalances can occur as side effects of a drug you are taking. These could be medications that you are taking for another condition or performance-enhancing drugs that enhanced athletes and bodybuilders take.
A professional will recommend treatment if you want to get rid of the condition because you claim that it hinders you from living your life normally. Suppose it gives you discomfort or pain and requires medical attention.
You could also ask for treatment if it negatively affects your mental health. The doctor will offer you treatment options depending on what the root problem is
And that is usually low testosterone levels, overproduction of estrogen, and others. Gyno can go away on its own after the root cause has been dealt with; if it doesn’t, then you will be offered the option of going under the knife. The surgeon will surgically remove the enlarged breast tissue and is the only sure way to get rid of gynecomastia completely.
Before deciding to go through this, though, make sure that your gyno won’t come back. Make sure to keep your hormones in check. So that when you do undergo surgery, the gyno won’t return. That is unless you want to undergo gyno surgery again. If so, by all means, be my guest.
Is Gyno Surgery Covered By Insurance
Whether insurance will cover gyno surgery depends on your insurance plan. Usually, insurance will not cover the costs of gyno surgery if it is not deemed medically necessary and is only done for the sole purpose of altering the appearance of the breast.
You are going to have to take a look at your insurance plan and make sure that the reason for treatment falls under the plan’s coverage. Talk to your doctor and they will happily help you convince your insurance provider why they should cover your treatment costs.
A case where the insurance company will cover gyno surgery is when you are a teenager with advanced stages of gynecomastia such as grade two and above. It could also be covered if your gyno causes breast pain and severe discomfort despite taking medication.
Talk to your doctor and review your insurance plan. Be completely honest about your condition, the symptoms you experience, and how it affects your everyday life and mental well-being. If all is done well, you will have a huge chance of getting your insurance to pay for your gyno surgery.
At the end of this article, I hope you have learned how to get insurance to pay for gyno surgery. Thank you for reading up to this point of the article. Your time and effort are very much appreciated. You can check this article with the title “What is franchise insurance?“