Insurance Coverage | The Practice Plastic Surgery
Patient Advocacy & Insurance

Does your
procedure
qualify for
insurance?

Most patients are told their surgery isn't covered. We find coverage others miss. Our dedicated Patient Advocacy team navigates insurance on your behalf, from prior authorizations to appeals, at one of Beverly Hills' most sophisticated surgical practices.

Check Your Eligibility

No commitment. Takes a few minutes.

The Practice Plastic Surgery Beverly Hills
Federal LawBreast reconstruction after mastectomy is federally mandated to be covered by your health insurance — including reconstruction, symmetry procedures, and treatment of complications. If you've been told otherwise, we can help you appeal.

A level of care
most practices
cannot offer.

We are not a standard surgical practice. Our integration of surgical innovation, a dedicated advocacy infrastructure, and a fully accredited private surgery center creates a standard of care and insurance access that most groups simply cannot replicate. Insurers recognize our uniqueness and actively want to work with us.

01
Patient Advocacy Team

A dedicated team whose only job is to navigate insurance on your behalf. They verify coverage before your first appointment, submit prior authorizations, and fight appeals when claims are denied. You don't make a single call to your carrier.

Benefits verification before consultation
Prior authorization management, start to finish
Appeals support when coverage is denied
Direct carrier communication on your behalf
02
Surgical Innovation

Dr. Cassileth developed procedures unavailable anywhere else. Insurance covers them. DTI reconstruction eliminates tissue expanders. SWIM reconstruction rebuilds the breast without implants or muscle sacrifice.

Direct-to-Implant (DTI) — one surgery, one recovery
SWIM reconstruction — implant-free, muscle-sparing
The Pocket Lift — structural, long-term result
Complex revision and capsular contracture correction
03
436 Surgery Center

Our fully accredited on-site surgery center means one team, one facility, and one standard of care. You are not outsourced to a hospital system. The surgical team that consults with you operates on you. The environment, the instruments, the staff are ours.

Fully accredited private surgery center on-site
No hospital handoffs or fragmented care teams
Seamless continuity from consultation to recovery
Bedford Breast Center imaging integrated on-site

What's
typically
covered.

Coverage depends on your plan, your documentation, and your provider's ability to navigate the authorization process. That last part is where most practices fall short. We have built a team specifically to handle it.

Eligibility varies by plan and clinical criteria. Our team reviews your specific coverage before your consultation, so you know exactly where you stand before committing to anything.

Breast Reconstruction After Mastectomy
Including reconstruction, symmetry procedures, and complications. All methods.
Federally Mandated
Direct-to-Implant (DTI) Reconstruction
Dr. Cassileth's proprietary single-surgery technique. Covered under federal mandate.
Covered
SWIM Reconstruction
Implant-free, muscle-sparing technique co-developed by Dr. Cassileth. Covered under mandate.
Covered
Functional Breast Reduction
Requires symptom documentation and confirmation that conservative treatment has failed.
Often Eligible
Complex Breast Revision Surgery
Coverage for medically indicated revisions varies by plan. Evaluated case by case.
Case Dependent
Capsular Contracture Correction
May be covered when medically necessary. Requires documentation and prior authorization.
Case Dependent
The Practice Beverly Hills

"True mastery speaks through results, not promises. A practice like no other."

Patient Testimonial

Insurances we work with
Blue Cross Blue Shield Blue Shield of California Aetna Cigna United Healthcare Anthem
Eligibility Check

Find out
if you
qualify.

Answer a few questions and our Patient Advocacy team will review your information and reach out before your consultation, before any commitment.

1
Tell us about your procedureA few basic questions about what you're considering.
2
Share your insurance informationYour plan details let us look up your benefits before you come in.
3
We contact you directlyA Patient Advocate follows up with what we found and your next step.