Insurer Must Pay for Boy’s Breast Reduction Surgery, N.Y. Court Rules

April 5, 2007

  • April 5, 2007 at 6:07 am
    LLP says:
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    There are a lot of conditions that are not life threatening by them selves, that are covered under a medical insurance; tonsillitis, common cold, but they may become that way if not prevented or taken care of with medical attention. This particular condition, if properly diagnosed, may have other more serious medical implications than just the presence of breasts on a male, as Amazed had found in reveiwing the condition. The medical community is finding out that there is more to it than just \”Unfortunate Condition\” as we were taught in school.

    This is as long as it is properly diagnosed.

  • April 5, 2007 at 6:09 am
    Amazed says:
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    And you received your medical degree from???? I stated my opinion based upon medical information that I gleened from the research I did. In addition to the 20 plus years I have in the insurance industry working as an MGA who handles medical malpractice insurance. Lisa also presented an educated researched arguement. You touted your chin condition. Now tell me Claudia, who made the more educated arguement?

    I maynot concur with Lisa, however I do respect her opinion.

    On a personal note- I do feel your condition has adversely effected your ability to harbor an unbias opinion. Does your insurance cover attitude adjustments?

  • April 5, 2007 at 6:11 am
    Claudia says:
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    Amazed didn\’t come up with that, Lisa did. And my condition may not be life threatening now, but I have been told good luck having children, etc… but again, I\’m not suing my insurance company over it. I also have arthritis, i\’m a degenerate, as most insurance companies call me, but again, I won\’t sue anyone when i\’m rolling down a hill in my wheelchair one day. I appreciate what you and Amazed are saying, it\’s a great debate, but I am not convinced this was nothing more than cosmetic surgery.

  • April 5, 2007 at 6:11 am
    Amazed says:
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    Most excellent point.

  • April 5, 2007 at 6:14 am
    Claudia says:
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    And you know what else, I have taken a lot of shots today, but you know what Amazed, i listened with a grain of salt and have yet to suggest you have an attitude adjustment…thanks for your open mindedness.

  • April 6, 2007 at 8:28 am
    Hey now! says:
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    MLF,
    I appreciate your honesty on this very touchy subject and am impressed by your candor. How \’bout we get together to further discuss? 555-1234

    PS
    Are you missing and \”I\” in your initials?

  • April 6, 2007 at 10:51 am
    MMM says:
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    Exactly, LLP. For instance, when I was a young teenager, I had terrible acne. Was it life threatening? Of course not. Was it embarassing? Most decidedly. It was by no means medically necessary to treat, yet my insurance still paid for me to see a dermatologist and use several different perscriptions over a period of time. Should this all have been paid for?

  • April 6, 2007 at 11:09 am
    MLF says:
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    Hah! Glad my \”candor\” was entertaining, Hey now!

    I tried your number, but it didn\’t work. (I am also a blonde).

    There is no \”I\” missing from my initials — \”MLF\” is the employee number given me by my employer. It goes on every single insurance document I process. Boy, do I get teased. However, the initals hold merit — I actually AM a quite attractive mother of three boys. (And that has nothing to do with the implants).

  • April 6, 2007 at 11:48 am
    Adirondacker says:
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    A blonde hottie in the insurance world? Damn, some employers have all the luck… I\’ve been searching for someone like you…intelligent, humorous AND attractive since I\’ve been a boss. How much they paying you??

    Kidding aside, the responses to this article I find rather inane. To me the implications of the ruling seem far more interesting than this particular individual procedure. Will this ruling change the policy language? Where will the line between cosmetic surgery and medically recommended surgeries NOW be drawn? Perhaps breast augmentation and various laser surgeries will soon be recognized as needed procedures due to the mental anguish associated with the social stigma involved… stay tuned… maybe I can finally get my carrier to pay for the lipo I\’ve wanted to rid me of that incessant inch around my belly that pays no mind to the endless sit-ups!

  • April 6, 2007 at 11:52 am
    morcia says:
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    i am not going to read this thread anymore – too much tit for tat going back and forth.



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