Health insurance must cover costs for breast lift after weight loss

Health insurance must cover costs for breast lift after weight loss

A spectacular victory for a woman who lost an incredible 60 kilograms after a stomach reduction! But the triumph over the kilos brought an unexpected challenge with it: excess skin, which can lead to psychological stress and health problems. This skin tightening is not only a question of beauty, but may be necessary for medical reasons, as a current judgment of the Speyer Social Court (AZ: S 19 KR 450/22) shows.

health insurance must pay!

The person concerned had requested breast lift after their drastic weight loss because their doctor made the diagnosis of mastoptosis. But the health insurance company took more than five weeks to decide on the application and finally refused. This delay was the crucial mistake! The court decided that the health insurance company not only had to recognize the medical necessity of the intervention, but also had to cover the costs due to the non -metal statutory period of three to five weeks.

A clear case: If the health insurance does not respond on time, the application is automatically considered approved! A judgment that is of great importance not only for this woman, but also for many others who suffer from similar circumstances. Health and psychological stress caused by excess skin must not be ignored. This judgment could create an important precedent!