Who defines 'medical necessity'?

The Atlantic, January 9, 2014

Lounging on the beach one afternoon, my wife suggested that health insurers be required to reimburse women for breast reshaping after childbirth. After all, we treat delivery as a medical procedure and recommend breast-feeding for the health of infants. Why shouldn't fixing a "side effect" of this necessary biological activity—sagging breasts—also be deserving of insurance coverage? Reconstructive surgery after other medical procedures is reimbursed. In my gut, something tells me breast reshaping isn't really healthcare. But why? We already reimburse for a broad variety of cosmetic procedures, usually to fix a congenital deformity, an injury, or the effects of a disease.


MOST POPULAR

SPONSORED REPORTS
SPONSORED HEADLINES

SIGN UP

FREE e-Newsletters Join the Council Subscribe to HL magazine

SPONSORSHIP & ADVERTISING

100 Winners Circle Suite 300
Brentwood, TN 37027

800-727-5257

About | Advertise | Terms of Use | Privacy Policy | Reprints/Permissions | Contact
© HealthLeaders Media 2015 a division of BLR All rights reserved.