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Which Medical Aid Covers Breast Reduction in South Africa?

Which Medical Aid Covers Breast Reduction in South Africa?

How Bas the Government Contributed to Health Care in South Africa?
Which Medical Aid Covers Breast Reduction in South Africa?

Breast Reduction has become a very popular cosmetic surgery in South Africa. The majority of the time, medical aids only pay for cosmetic surgery procedures like breast reductions if they are deemed medically necessary. Excess breast tissue is removed during a breast reduction procedure in plastic surgery. The strict guidelines medical aids have for plastic surgery procedures that are both cosmetic and medically necessary typically determine whether or not your medical aid will cover this procedure.

What Is The Importance Of A Breast Reduction Surgery?

A lot of women and medical professionals bemoan the bureaucracy put in place by medical aids for various plastic surgery procedures, such as breast reductions. These women and doctors believe that breast reductions should be considered medically necessary procedures, whether or not medical aids concur with them in this view.

What Is The Price Of Breast Reduction Surgery In South Africa?

Depending on the surgeon and the length of the procedure, breast reduction surgery can cost anywhere between R 55 000 and R 62 000. Anesthesia, hospital fees, consultation fees, and any assistant or surgeon fees are included in this cost.

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Doa A Medical Aid Cover Breast Reduction In South Africa?

Over 50 000 people have signed a petition that was started by Breast Reduction Support SA and is addressed to the Council of Medical Aids and the department of health. In South Africa, there are three main types of medical aids for breast reduction surgeries: medical aids that do not cover the cost of the procedure, medical aids that do cover the cost of the procedure or partially cover it, and medical aids that make case-by-case decisions after consulting with clinical experts.

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What Medical Aid Cover Breast Reduction in SA

Breast reduction surgery is not typically covered by many medical aids. Each medical aid has its own protocols and specifications. Strict guidelines must be followed in South Africa for any procedure involving plastic surgery to be covered.

For the majority of medical aids, the cost of plastic surgery procedures like breast reductions requires significant financial justification. Additionally, even if the plan states that it will pay for the breast reduction surgery, you might still be required to give a thorough justification for the procedure’s medical necessity, which will include pertinent images, doctor’s reports, and medical record.

Plastic surgeons can reduce the size of the breasts by removing some of the breast tissue. Back and neck pain, wheezing, and other unpleasant physical symptoms are frequently experienced by women with extra breast tissue. Surgery is most often only covered by South African medical aid programs if it is determined to be absolutely necessary. 

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