Blue Cross Blue Shield of Tennessee

Policy Issued In
Last Update
Breast Reconstruction

Breast augmentation with nipple/areola reconstruction surgery if ALL of the following are met:

  • One (1) referral letter from mental health professional with a minimum of a Master’s degree or Ph.D. in clinical psychology (See ADDITIONAL INFORMATION for letter criteria)

  • Documentation of 12 months of continuous hormonal therapy (unless the individual has a medical contraindication or is unable or unwilling to take hormones).