The Breast Reduction Center of NYC (located on the Upper East Side in Manhattan, New York) accepts most commercial insurance for breast reduction plastic surgery. The Breast Reduction Center of NYC offers breast reduction surgery for women who have developed physical symptoms such as back or neck pain related to the size and/or weight of their breasts. Our world-leading plastic and reconstructive surgeon will tailor each breast reduction surgery to your unique needs, ensuring the procedure is performed to the highest standard. Breast reduction surgery removes approximately 50% of the breast volume in addition to excessive skin making them smaller, lighter, and more lifted.
I am currently two month post-opt and I feel great. I had a breast reduction and haven’t had any back pain since. Initial I was very nervous, but after meeting the plastic surgeon, I felt a calm come over me. He is very knowledgeable, and just made me feel human. He didn’t make our meeting feel so scripted. He was down to earth and trustworthy. I am so glad that I went through with the surgery. I would highly recommend him. My results are aaaaamzaing! ~ RealSelf
The Breast Reduction Center of NYC can work with certain insurance plans. We understand that navigating the insurance process is daunting and confusing, and we are committed to helping our patients avoid the stress of these unknowns. Prior to surgery, you will be contacted by our Administrative Team to review your benefits and expected financial obligation due either in advance of surgery or once the claim has been processed. This will include your estimated responsibility, which is based on the surgical codes provided by your surgeon. After surgery, a claim will be billed out on your behalf and our billing team will continue to communicate with your insurance carrier until the claim has been completed. Our team is here to help navigate through the insurance process, so please contact us with any questions.
Your Rights and Protections Against Surprise Medical Bills
When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
What is “balance billing” (sometimes called “surprise billing”)?
When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a health care facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care—like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
You are protected from balance billing for:
Emergency services
If you have an emergency medical condition and get emergency services from an out-of-network provider or facility, the most the provider or facility may bill you is your plan’s in-network cost-sharing amount (such as copayments and coinsurance). You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balance billed for these post-stabilization services.
Certain services at an in-network hospital or ambulatory surgical center
When you get services from an in-network hospital or ambulatory surgical center, certain providers there may be out-of-network. In these cases, the most those providers may bill you is your plan’s in-network cost-sharing amount. This applies to emergency medicine, anesthesia, pathology, radiology, laboratory, neonatology, assistant surgeon, hospitalist, or intensivist services. These providers can’t balance bill you and may not ask you to give up your protections not to be balance billed. If you get other services at these in-network facilities, out-of-network providers can’t balance bill you, unless you give written consent and give up your protections.
You’re never required to give up your protections from balance billing. You also aren’t required to get care out-of-network. You can choose a provider or facility in your plan’s network.
When balance billing isn’t allowed, you also have the following protections:
• You are only responsible for paying your share of the cost (like the copayments, coinsurance, and deductibles that you would pay if the provider or facility was in-network). Your health plan will pay out-of-network providers and facilities directly.
Your health plan generally must:
- Cover emergency services without requiring you to get approval for services in advance (prior authorization).
- Cover emergency services by out-of-network providers.
- Base what you owe the provider or facility (cost-sharing) on what it would pay an in-network provider or facility and show that amount in your explanation of benefits.
- Count any amount you pay for emergency services or out-of-network services toward your deductible and out-of-pocket limit.
If you believe you’ve been wrongly billed, you may contact the No Surprises Help Desk at 1-800-985-3059.
Visit www.cms.gov/nosurprises for more information about your rights under federal law.
The Breast Reduction Center of NYC specializes in taking exceptional care of each patient from the initial breast reduction consultation to the post-recovery period. The honor and privilege of caring for our patients come with the responsibility and dedication of the best in class board certified/board eligible plastic surgeons and our staff to adhere to the utmost standards of excellence in patient care and final surgical outcome. As best in class top rated breast reduction surgery specialists we provide highly personalized and comprehensive care. If you have any questions pertaining to your insurance or would like to schedule a breast reduction surgery consultation please feel free to contact us:
Breast Reduction Center of NYC
800A 5th Ave
Floor 3, Suite B
New York, NY 10065
(212) 203-4514
