Axillary breast tissue removal is covered by health insurance. The treatment expenses are payable by insurance when the condition is critical and symptomatic. To learn all about the terms and conditions, talk to our health insurance provider.

Axillary breast tissue removal is covered by health insurance. The treatment expenses are payable by insurance when the condition is critical and symptomatic. ... To learn all about the terms and conditions, talk to our health insurance provider. Read More

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Benefits for Choosing Pristyn Care for Axillary Breast Removal

Expert Breast Surgeons for Axillary Breast Removal

We have well-trained plastic surgeons with 10+ years of experience and ample knowledge to perform the surgery safely. Our doctors compile a customized treatment plan for each patient depending on their requirements.

Minimal Scarring during Axillary Breast Removal Procedure

Axillaplasty surgery is a minimally invasive procedure. The incision technique is chosen smartly by the surgeon to reduce post-op scarring after the treatment. Thus, there is no aesthetic downside.

Realistic & Natural Results

The results of axillary breast tissue removal surgery are immediate, realistic, and natural, which improves the woman’s confidence and self-esteem.

When is Axillary Breast Removal Covered by Health Insurance?

Breast tissues normally extend to the underarm region, but these tissues don’t grow abnormally. However, in around 2% to 6% of women, these tissues start to grow and cause physical and cosmetic concerns. When the patient is opting for surgical treatment due to cosmetic concerns, the surgery is not considered a medical necessity. Hence, the insurance plan won’t cover the expenses.

If the surgery is recommended to the patients for medical reasons, then the procedure qualifies for insurance coverage. The patient must have the following symptoms that signify that the axillary breast tissues are causing problems-

The size of the underarm lump is increasing.
The patient is unable to maintain a proper arm posture.
The movement of the affected arm is restricted to a great extent.
The armpit lump is causing pain and discomfort.
The patient feels pain along the medial arm.
The lump tissues are hard and cause considerable swelling in the area.

Another scenario where the treatment is most certainly covered under health insurance is if the axillary breast tissues are found to be cancerous. All these symptoms indicate that the removal of these axillary breast tissues is medically necessary. Thus, the treatment expenses are payable by health insurance partially or in entirety.

• Disease name

Axillary Breast

• Surgery name

Axillaplasty

• Duration

60-90 minutes

• Treated by

Plastic or cosmetic surgeon

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How to get Insurance Coverage for Axillary Breast Tissue Removal?

Pristyn Care emphasizes making the treatment journey hassle-free for the patients. Thus, we accept all health insurance policies and assist patients to get cashless treatment for axillary breast tissue removal (Axillaplasty). Read the below steps to know Health Insurance claims process works differently for cashless and reimbursement claim requests.

1 Intimation

All you need to do is to fill a pre-authentication form along with relevant insurance documents for availing cashless treatment at our partner hospital.

2 Approval/Rejection

Your pre-authentication form is approved or denied based on the terms and conditions of your health insurance policy.

3 Hospitalisation

Hospitalisation can be done based on pre-authentication approval. Hence, it is advisable to finish the pre-authentication procedure beforehand.

4 Claim Settlement

At the time of discharge, we will coordinate and settle your bills directly with the hospital and insurance provider.

1 Hospitalization At Non Network Hospital

If hospitalised at a non-network hospital, you don't need to pay the medical bills. Pristyn Care will settle the bills with the hospital on your behalf.

2 Register A Claim

To register a claim, please fill in the claim form with all your receipts, reports and relevant documents received from the hospital at the time of discharge. We, at Pristyn Care will help you claim reimbursement from your health insurance company.

3 Verification

We will share all your claim-related medical documents in original with your insurance provider to check if everything is in order.

4 Claim Settlement

We will coordinate with your insurance company to reimburse the claim amount to your registered bank account. You can later pay back that amount to us as per the policy terms and conditions.

Best Doctors for Axillary Brest Removal

Dr. Jonnalagadda Prashan...

MBBS, DNB-General Surgery & M.Ch-Plastic Surgery

15+ Yrs.Exp.

5.0/5

15+ Years Experience

Pristyn Care Zoi Hospital, ShivBagh, Ameerpet, Hyd

Call Us

080-6542-3712

Dr. Soumya Sharad Agrawa...

MBBS, M.Ch-Plastic surgery

13+ Yrs.Exp.

4.5/5

13+ Years Experience

Manorama Ganj, Old Palasia, Indore, Madhya Pradesh 452003

Call Us

080-6542-3720

Dr. Sasikumar T

MBBS, MS-GENERAL SURGERY, DNB-PLASTIC SURGERY

24+ Yrs.Exp.

4.5/5

24+ Years Experience

1st floor, No Z/281, 5th Ave, beside St Lukes church, Y Block, Anna Nagar, Chennai, Greater Chennai, Tamil Nadu 600040

Call Us

080-6541-7851

Expenses Covered by Health Insurance for Axillary Brest Removal

All health insurance policies don’t provide the same coverage and benefits. Therefore, it’s crucial to check what expenses can be covered by insurance. This allows the patients to manage their budgets accordingly.

Some common expenses that are mostly covered by the insurance are-

The surgeon and anesthetist’s fee
Diagnostic tests performed before and after the surgery
Hospital admission and discharge fee
Operation theater and ICU charges (charged on an hourly basis)
Cost of medicines prescribed before, during, and after the treatment
Medical consumables, including staples, sutures, bandages, syringes, etc.
Room rent (calculated on the basis of room chosen on a daily basis)
Post-surgery follow-up consultations
Second opinion
Nursing fee

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All Major Insurance Accepted

How to Claim Health Insurance for Axillary Breast Treatment?

There are two ways a patient can use the health insurance policy to cover the expenses of axillary breast removal – cashless claim and reimbursement claim. The process to get these claims are explained below.

Cashless Claim Process for Axillary Breast Removal

A cashless claim allows the patient to pay the hospital bill upfront. Through this claim, the medical bills are settled between the hospital and the insurer directly. To avail of the cashless facility, the treatment should meet one of the following criteria-

The patient is hospitalized for 24 hours.
The surgery is covered under daycare procedures.

When these requirements are fulfilled, the patient can use health insurance for cashless payment only at a network hospital of the insurance company. The claim is processed in the following steps-

Schedule the surgery at the hospital and provide the necessary documents to the TPA (third-party administrator).
Fill out the cashless claim form and submit it to the TPA.
The TPA team will submit the claim form and respective documents to the insurance company.
The insurer will validate and verify the documents and the proposed treatment plan. The patient will also receive a call from the insurance company to confirm the legitimacy of the claim.
Once the cashless claim is approved, the patient will be notified through a text message and/or email.

The hospital bills are settled before the patient’s discharge. To ensure that the patient doesn’t face any difficulty or delay during the discharge, it’s always recommended to inform the insurance company regarding the treatment 2-3 days before the surgery is planned. This will streamline the process, and the claim will be authorized as soon as possible.

Reimbursement Claim Process for Axillary Breast Removal

The reimbursement claim can be requested during and after the treatment. This facility is availed by the patient when he/she is getting treatment at a non-empaneled hospital. Through this claim, the patient can get reimbursement for the amount paid upfront at the hospital for the treatment.

While the cashless claim is handled mostly by the hospital’s insurance team and the insurer, a reimbursement claim is handled by the patient without much assistance from the hospital authorities.

The steps to get a reimbursement claim are explained below-

Inform the insurance provider about the treatment during the hospitalization and after discharge.
Make the payment directly to the hospital and obtain the reimbursement claim form online or through the insurance agent.
Provide the required documents, such as discharge summary, ID proof, etc., and submit the form within 30 days of discharge. If delayed further, the patient won’t be eligible to get reimbursement.
The insurance company will review the documents and provide approval after verification.
The sanctioned amount will be credited to the patient’s account directly.

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FAQs around Axillary Breast Tissue Removal

Is there a waiting period for which I have to wait to get an insurance claim for Axillaplasty?

Generally, the insurance policy has a specified waiting period for pre-existing diseases. So, if the patient already had axillary breast tissues at the time of purchasing the policy and the condition was declared, then the patient must wait for a specified period to claim insurance to get the treatment. If the condition didn’t exist and started to develop later, the waiting period clause won’t be applicable, and the patient can avail insurance to cover the treatment.

When is Axillaplasty (Axillary Breast Removal) not covered by insurance?

If the lump in the underarm is not symptomatic or causing any problems, the treatment is considered cosmetic and not covered by the health insurance policy.

Can I use my corporate insurance policy for axillary breast tissue removal?

Yes, whether an individual has personal or corporate health insurance, the policy can be claimed for medical issues. The patient only needs to provide the insurance e-card to the hospital authorities and talk to the insurance providers to understand the terms and conditions of the policy.

What is a co-payment clause?

The co-payment clause refers to the arrangement in which the policyholder is liable to pay a portion of the medical expenses on their own, and the health insurance company will cover the remaining amount. The amount that needs to be paid by the policyholder might vary depending on the plan purchased.

When can my cashless or reimbursement claim get rejected?

The insurance company may deny the cashless or reimbursement claim in the following cases- 1. The treatment sought by the patient has a waiting period clause, and the period is not over yet. 2. The hospital bills and other documents provided are falsified or can’t be verified. In both cases, the insurance company has the right to reject the claim request.

Is it possible to reduce or levy off the waiting period?

The patient can request the insurance provider to levy off or reduce the waiting period but the decision is entirely up to the insurers. If the insurance company agrees to do so, the patient will most likely have to pay higher premiums in the future.

Get Cashless Treatment at Pristyn Care for Axillary Breast Tissue

The cashless facility is processed in the following steps-

The patient needs to provide an insurance card, ID proof, and other relevant documents to our care coordinators.
The patient is asked to fill out the cashless claim form, and it is submitted at the TPA desk at the hospital.
Our care coordinators update the patient about the approved claim amount. The patient also receives a text message or email regarding the approval and claim amount.
The sanctioned amount is credited directly to the hospital’s account, and the medical bills are settled before the patient’s discharge.

Thus, the patient doesn’t need to pay an upfront fee at the hospital. Hence, the entire treatment is made cashless for the patient.

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Pristyn Care services are accessible Pan India

Pristyn Care has taken the latest medical technologies to ensure consistent quality of advanced surgical care in 30+ cities of India including Ahmedabad , Bangalore , Bhubaneswar , Chandigarh , Chennai , Coimbatore , Delhi , Faridabad , Ghaziabad , Gurgaon , Hyderabad , Indore , Jaipur , Kochi , Kolkata , Kozhikode , Lucknow , Madurai , Mumbai , Nagpur , Nashik , Noida , Patna , Pune , Raipur , Ranchi , Thiruvananthapuram , Vijayawada and Visakhapatnam .

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Patient Name

Mobile Number

Select City

Select Disease

Proctology

","

Pilonidal Sinus

","

Piles

","

Rectal Prolapse

","

Fissure

","

Fistula

","

Fecal Incontinence

","

Constipation

","

Hemorrhoids

","

Laparoscopy

","

Umbilical Hernia

","

Hydrocele

","

Inguinal Hernia

","

Incisional Hernia

","

Appendicitis

","

Gallstone

","

Hernia

","

Achalasia Cardia

","

Acid Reflux Surgery

","

Large Intestine

","

Indirect Hernia

","

Small Intestine

","

Colonoscopy

","

Gastric Bypass Surgery

","

Gynaecology

","

Pain During Intercourse

","

Vaginoplasty

","

Labiaplasty

","

Vaginal Discharge

","

Laser Vaginal Tightening

","

Vaginal Dryness

","

Ovarian Cyst

","

Hysterectomy

","

Hymenoplasty

","

Clitoral Hoodoplasty

","

Abortion

","

Hysteroscopy

","

Pap Smear

","

Vaginal Rejuvenation

","

Ectopic Pregnancy

","

Laser Vaginal Rejuvenation

","

Vaginal Recurrent Infection

","

Pelvic Pain

","

Female Urinary Problems

","

Lichen Sclerosus

","

Menstrual Disorders

","

Preconception Care

","

Uterine Fibroid

","

Pcos Pcod

","

Pregnancy Care

","

Medical Termination Of Pregnancy

","

Laser Vaginal Bleaching

","

Anal Bleaching

","

Vaginal Wart

","

Molar Pregnancy

","

Bartholin Cyst

","

Miscarriage

","

Endometriosis

","

Adenomyosis

","

Myomectomy

","

Dilation And Evacuation (D&E)

","

Polypectomy

","

ENT

","

Turbinate Reduction

","

Uvulopalatopharyngoplasty

","

Adenoidectomy

","

Myringotomy

","

Microlaryngeal

","

Mastoidectomy

","

Tongue Base Reduction

","

Tonsils Removal

","

Deviated Nasal Septum

","

Eardrum Surgery

","

Sinus Surgery

","

Thyroidectomy

","

Tonsillectomy

","

Ear Surgery

","

Sinusitis

","

Tympanoplasty

","

Fess Surgery

","

Stapedectomy

","

Septoplasty

","

Tonsillitis

","

Adenoids

","

Hearing Problem

","

Thyroid Infection

","

Chronic Sinusitis

","

Recurrent Sinusitis

","

Subacute Sinusitis

","

Mastoiditis

","

Parotidectomy

","

Nose Surgery

","

Vocal Cord Polyps

","

Adenotonsillectomy

","

Otitis Media

","

Nasal Polyps

","

Turbinoplasty

","

Ear Infection

","

Ear Hole

","

Throat Infection

","

Middle Ear Perforation

","

Urology

","

Urinary Tract Infection

","

Urinary Incontinence

","

Erectile Dysfunction

","

Urethral Stricture

","

Stress Urinary Incontinence

","

Circumcision

","

Kidney Stones

","

Male Urinary Tract Infection

","

Prostate Enlargement

","

Phimosis

","

Paraphimosis

","

Foreskin Infection

","

Balanoposthitis

","

Balanitis

","

Frenuloplasty

","

Cystoscopy

","

Cystolithotripsy

","

DJ Stent

","

cystolithotomy

","

Urethral Stricture

","

pyeloplasty

","

nephrostomy

","

Corn Removal

","

Vasectomy

","

Toenail treatment

","

Testicular Torsion

","

Epididymal Cyst

","

Vascular

","

Varicose Veins

","

Varicocele

","

Diabetic Foot Ulcer

","

AV Fistula For Dialysis

","

Deep Vein Thrombosis

","

Spider Veins

","

Aesthetics

","

Gynecomastia

","

Liposuction

","

Lipoma

","

Sebaceous Cyst

","

Breast Lift

","

Rhinoplasty

","

Breast Reduction

","

Breast Augmentation

","

Breast Lump

","

Hair Loss

","

Breast Surgery

","

Axillary Breast

","

Abdominoplasty

","

Double Chin

","

Buccal Fat

","

Earlobe Repair

","

Blepharoplasty

","

Hair Fall PRP

","

Orthopedics

","

Carpal Tunnel Syndrome

","

Knee Replacement

","

Spine Surgery

","

Hip Replacement

","

Arthroscopy

","

ACL Tear

","

Rotator Cuff Repair

","

Bankart Surgery

","

Bankart Repair

","

Meniscus Repair Surgery

","

Shoulder Replacement Surgery

","

Discectomy

","

Laminectomy

","

Acdf Surgery

","

Spinal Fusion

","

Ligament Injury

","

Knee Arthroscopy

","

Shoulder Arthroscopy

","

Femur Fracture

","

Ophthalmology

","

Lasik

","

Cataract

","

Squint Surgery

","

Glaucoma Surgery

","

Retinal Detachment Surgery

","

Diabetic Retinopathy Treatment

","

Intravitreal Injections

","

Vitrectomy

","

Monofocal Lens

","

Multifocal Lens

","

Toric Lens

","

PRK Lasik

","

Smile Lasik Surgery

","

Femto Lasik Surgery

","

ICL Surgery

","

Macular Edema

","

Retinal Surgery

","

Contoura Vision

","

Phaco Surgery

","

Pterygium

","

Dentistry

","

Teeth Alignment (Fix)

","

Dental Others

","

Crossbite Teeth

","

Overbite Teeth

","

Openbite Teeth

","

Weight Loss

","

Bariatric Surgery

","

SPATZ Intragastric Balloon

","

Intragastric Balloon

","

Weight Loss Surgery

","

Weight Loss

","

Dermatology

","

Scar Removal

","

Beard Transplant

","

Face Threadlift

","

Botox

","

Derma Fillers

","

Vampire Facial with Dermaroller

","

Hair Transplant

","

Hair Reduction

","

Fat Loss

","

Allergan for Double Chin

","

Allergan for Arms

","

Allergan for Underarm Fat

","

Allergan for Tummy

","

Allergan for Inner Thigh

","

Allergan for Outer Thigh

","

Anti Aging

","

Uneven Skin Tone

","

Acne & Scar

","

Pigmentation

","

Tattoo removal

","

Hair Treatment

","

Vitiligo for Face

","

Roascea (Gold Toning laser)

","

Dark Circle & Puffy Eyes

","

Foundation full Face

","

Acne Scar

","

Fertility

","

Male Infertility

","

Female Infertility

","

Ivf

","

Iui

","

Embryo Transfer

","

ICSI Treatment

","

Neurology

","

Headache or migraine

","

Neurology-Others

","

Nephrology

","

Chronic kidney disease (CKD) follow-up

","

Pulmonology

","

Chest pain or tightness

","

Oncology

","

Oncology

","

General Physician

","

General Physician-Others

","

Diabetes

"]" data-all-dropdown-items-arr="[]">

Axillary Breast Tissue Removal Under Insurance - 100% Cashless

When is Axillary Breast Removal Covered by Health Insurance?

Expenses Covered by Health Insurance for Axillary Brest Removal

How to Claim Health Insurance for Axillary Breast Treatment?

Cashless Claim Process for Axillary Breast Removal

Reimbursement Claim Process for Axillary Breast Removal

Pristyn Care’s Free Post-Operative Care

FAQs around Axillary Breast Tissue Removal

Is there a waiting period for which I have to wait to get an insurance claim for Axillaplasty?

When is Axillaplasty (Axillary Breast Removal) not covered by insurance?

Can I use my corporate insurance policy for axillary breast tissue removal?

What is a co-payment clause?

When can my cashless or reimbursement claim get rejected?

Is it possible to reduce or levy off the waiting period?

Get Cashless Treatment at Pristyn Care for Axillary Breast Tissue

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