Breast Reduction Phoenix


For women one of their top concerns when looking towards Breast Reduction is the pain that is associated with this condition. Breast reduction is very important to women and to Dr. Jacobsen as well. For Dr. Jacobsen, this means taking care of those needing help alleviating back, neck and shoulder pains that come from the grooving of their brassiere. It can be difficult to get coverage from your insurance; however, Dr. Jacobsen can be your best advocate, and will do everything he can to help you get this approved.

Self-pay is always an option at our office, as apart of our practice we have included options for financing and payment plans:

Almost all women wish to have their insurance company pay for this. Most insurance companies make this very difficult and do not wish to pay for this type of service, making it very difficult to be approved and authorized for surgery.  Reading the material below will help yourself a great deal through this process.  As a specialist in restorative and plastic surgery, Dr. Jacobsen is practiced and will write the necessary documentation in your best interest to help get you approved. If you wish to have your surgery, you may, at any time take the course of self-pay if you are safe for anesthesia. Call and schedule a consultation with the office to see if you can be approved for this.

If you wish for your insurance company pay, you must follow their rules! Dr. Jacobsen and his staff are not in control of their rules or their approval process.  Our staff is experienced in requesting authorizations from insurance companies, but greater than 90% breast reduction surgeries are denied by insurance companies.  You must work hard and fight for your approval!

Below, we have prepared this document to help you with the insurance approval process:

 

Common Breast Reduction Misunderstandings

  • Patients feel because they are suffering that your insurance company will cover the surgery.
  • Patients feel that because their doctor said they needed breast reduction surgery that their insurance company will cover it.
  • Patients feel if that if Dr. Jacobsen just words his notes properly the insurance company will cover it.

These are false

By allowing Dr. Jacobsen to take over your care, Dr.  Jacobsen will act as your best advocate. You can be assured that his notes will be very detailed and supportive. However, Dr. Jacobsen’s opinion alone is not final. The insurance company’s decision may rely ENTIRELY upon supportive documentation from other supporting providers. By meeting the criteria and having all the appropriate documentation on your behalf will allow for the greatest chance to be approved and covered by your insurance. These can be located by speaking with your insurance company.

Every insurance carrier is different and has a different process.

 

Steps to Finding Insurance Criteria

  • Call your carrier and find the criteria they have for breast reduction surgery in your policy.
  • Call your carrier and get a copy of your policy.
  • Printout the criteria for breast reduction surgery.
  • Document how you meet each criterion your insurance carrier has listed

 

If you contact your insurance, it is essential to tell and let your representative know that this breast reduction surgery is necessary to your health and well-being. They should be able to give you the exact criteria they use to approve breast reduction surgery.

By obtaining medical records, you can help yourself with the most important part of the approval process; Supporting documentation of problems relating to the size of your breasts and the wish to resolve this by having breast reduction surgery.

Dr. Jacobsen’s staff will not obtain these records for you.  If you wish to have your insurance company approve your surgery, you must obtain the records, email and/or fax them to us

Once you meet the criteria you cannot be denied for surgery! If you want your surgery work on this diligently.

 

List of Medical Records Needed for Approval:

You can send these to Dr. Jacobsen’s office

  • Primary care physician
  • Referring physician
  • Back or spine physician
  • Physical therapist
  • Records from any other non-surgical physicians

 

You can be your own best advocate by physically getting your own records. You must go to your doctor’s office and request these records and bring them to our office.

Records can be faxed to 602279.1701 or emailed to emaildrj.com.

The best method is sending your records on your own behalf, oftentimes by calling other offices and asking them to fax your information usually fails. As offices can be extremely busy and sending records becomes of low priority when dealing with higher risk patients. We receive all faxes electronically, so we do not miss any faxes. We recommend going to your doctor’s office to obtain copies and bringing them at time of appointment. We will not call your doctor’s office to retrieve documentation. Once we receive your documentation, we will be happy to submit them to the insurance companies on your behalf. We cannot be your administrative assistant. If you wish your surgery to be approved you must obtain your records on your own.

 

Call your carrier during the approval process:

  • They can help give you the status of your approval or denial.
  • Insist that they tell you why you are not approved.
  • Insist that they tell you specifically what criteria you have not met.
  • Do not believe them when they say you are denied because Dr. Jacobsen did not do the authorization properly.

 

Be Aware of Carrier’s excuses

Insurance companies will often tell patients that they are not approved by fault of the practitioner, and they are the cause of your denial. To avoid this, make your carrier explain to you what criteria you do not meet exactly!

Be assured once we receive records we have done everything properly and timely. Our office handles the insurance authorization process daily, quickly with no problems and knows exactly how to do it. Before taking any complaints to the office make sure of the denials you are receiving from the insurance carrier. Authorizations are based solely on the criteria you receive from your insurance company.

If your surgery is still denied by your insurance company, we will be happy to work with you. Attached is an Estimated Cost for Surgery for your information.  After a consultation, we will prepare a more accurate personalized Financial Commitment for Surgery for you.

At any time during this process, you can contact our office for an update on status or to answer any questions you may have at emaildrj.com.

And remember . . .  You must work hard and fight for your approval!

 

Fax: 602.279.1701

Email: emaildrj.com

 

Breast Reduction Phoenix – Pricing

Total All-Inclusive Fees $  8,880
Dr Js Surgical Fees $  4,750
Saline Implants $  1,300
Garment $  70
Payment to Dr Jacobsen $  6,120
Estimated Anesthesia Fee $  ~890
Payment to St Joe’s SurgiCenter $  1,870
Total Payments $  8,880

Note: This is a pre-examination estimate that is appropriate for most patients wishing this service.  The fees may change slightly based on your personal needs.

Dr J and his staff look forward to understanding the details of your unique case, desires and aspirations, and to providing you with realistic, safe and attainable results that leave you looking beautiful, and truly feeling like yourself. Take the first step toward your healing or rejuvenating procedure with Dr J by filling out our contact form to request a consultation, or to inquire about any of the services we offer. We look forward to treating you!


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  • review rating 5  Very upper class. Beautiful surroundings, beautiful people. Very tranquil. Highly recommend.

    thumb Donna Koverly
    3/16/2018
  • review rating 5  My experience with Dr Jacobsen, MD has been a unbelievable first time experience for my procedure. He is a extremely skilled surgeon that that I would highly recommend. He is professional, compassionate, knowledgeable and has excellent bedside manners. Do not hesitate to set up a free consultation, your will never regret it. Jim K. 4/15/18

    thumb Jim Kleeman
    4/17/2018
  • review rating 5  Dr. Jacobsen and his team are beyond exeptional! From the moment you walk in you are treated with care and professionalism. Very very impressed! Thank you Absolutely recommend!!!

    thumb ester zav
    7/25/2018
  • review rating 5  Incredible does not begin to describe Dr. J and his amazing staff! From my first consultations to any questions I had post op, I was treated like I was the only patient. Dr. J is a true professional who cares about his patients. Without hesitation, I highly recommend Dr. J!!

    thumb Kara Sehr
    3/10/2019
  • review rating 5  I've had four visits with Dr. Jacobsen over the past 2.5 years, the first after the removal of 1/3 of my bottom lip from skin cancer, and the last for a biopsy of possible skin cancer on my nose. Each time, he has treated me with kindness and respect, and also had a level of confidence that made me feel relaxed with whatever he thought best for the particular problem. Thus far, the results have proven him correct. He has quickly become my go-to for any problem or condition that may create a cosmetic "issue". His office and staff make you feel welcomed and comfortable, and he promptly and generously responds to questions or concerns by email. One visit and you'll find these things out yourself.

    thumb Jay Phillips
    4/18/2018
  • review rating 5  Dr Jacobsen performed surgery on the back of my leg to remove melanoma, I also had a sentinel lymph node biopsy at the same time. Dr J is professional, knowledgeable and very dedicated to patient care. I had to have the lymph node incision drained several times and he got me in quickly and also worked around my hectic schedule. He even came in while he was on vacation! He was always so reassuring and very kind. Dr J goes above and beyond! His office staff is very responsive and they are so pleasant to work with. I am grateful to have been referred to Dr J and his office😌

    thumb Pam Kline
    7/22/2019
  • review rating 5  I would have to say that so far my experience with Dr. J is quit impressive. I do not particularly like going to doctors. As it seems often times the treatment ends up being worse than the original illness to begin with. So I was referred to Dr. J due to surgical incision from two years ago from having a spinal cord stimulator put in my back. Where the battery is placed in my left hip, the incision has never close. I do have to say that the waiting area is very inviting. I would have to say that the staff are very friendly, and they go above and beyond with helping answer any questions. My initial meeting with Dr. J was great, as he understood how nervous I was to be there. He listened to me, when I expressed certain concerns. He did reassure me that although I do have to have surgery, he explained to me exactly what he was going to do, without adding a bunch of scientific names that I would not understand. He assured me that he would take great care in helping with the infection and take the necessary steps to ease any discomfort that I might have. Dr. J seems so far to be extremely understanding, and that is a rare quality that not many doctors have.

    thumb Rlo Olr
    8/24/2019
  • review rating 5  He is the best doctor I am so so happy with my tummy tuck thank you DR William m .Jacobson

    thumb Nehmah Salem
    2/12/2019
  • review rating 5  Dr. Jacobsen is a great surgeon. He performed surgery on my melanoma 4 weeks ago and has been very good about following up to help me feel comfortable. He often returns my calls to his office personally and makes time to see me when I am concerned. His office is lovely and well-run. The staff is efficient and caring. My calls are returned promptly. I feel fortunate to have Dr. Jacobsen for a doctor.

    thumb Karen Atkins
    7/12/2019
  • review rating 5  Hi Dr. J ., Tracy, Ashley, Kimberly and Susan- I came back to your surgical practice as I was very pleased with previous results. I find again a very caring atmosphere and staff and I am excitedly anticipating future results of your excellent technical expertise. Waiting to hear from you regarding the rest of the repair work yet to be done. Happy New Year and Happy Blessings to all of you! Thanks so much, Lisa Bishop

    thumb Lisa Bishop
    1/06/2018

Get started today!

Dr J and his staff are committed to providing you with exceptional and compassionate care. On behalf of our entire team, we invite you to request a consultation to talk to Dr J about your goals, expectations and aspirations. We can’t wait to find out how our 20-plus years of experience in cosmetic and functional plastic surgery can help change your life, and make you a happier, healthier person.

Dr. William Jacobsen
Plastic Surgery
2525 East Arizona
​Biltmore Circle, Ste C236
Phoenix, AZ  85016

Phone: 602-212-0100
Fax: 602.279.1701
info@drjsoffice.com

Our Procedures & Treatments

Dr J considers every surgery an opportunity to express his vision with his patients, and believes in natural, beautiful results that leave you feeling confident and beautiful, but most importantly, feeling like yourself. From extremely rare and complex surgical cases, to cosmetic surgery, Dr J has the experience, compassion and understanding to help you achieve your surgical goals.

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