It is entirely up to you whether or not to have your son circumcised. It isn’t necessary by law or policy at the hospital. Circumcision is an elective treatment, thus your health insurance policy may not cover it. Call your health insurance provider to see if the operation is covered under your policy.
How much does a newborn circumcision cost?
Circumcision for a newborn infant is normally $150-$400 for the doctor price, with maybe an extra facility fee, bringing the total to $800 or more for people without health insurance. Gentle Circumcision in California, for example, charges $150 to circumcise kids under the age of seven weeks.
What type of insurance covers circumcision?
If a doctor determines it’s medically required and the person has an eligible condition, Medicaid will cover circumcision for newborn and non-newborn boys. Beneficiaries with repeated urinary tract infections or a congenital defect that produces symptoms, for example, will be considered for Medicaid support. Circumcisions for newborn males are covered by Medicaid in several states, even if they are not medically necessary.
How much is circumcision with insurance?
Cost When Insurance Is Involved If you have health insurance, the cost of your circumcision operation could range from free to $50. This, however, is depending on the type of insurance coverage, as most would have a coinsurance of 10 to 50%.
Does insurance not cover circumcision?
Circumcision and circumcision revision for aesthetic, sanitary, or religious reasons are considered “cosmetic” procedures and are not covered by health insurance.
Do you have to pay to get your baby circumcised?
Circumcisions cost between $250 and $400 in most cases. The cost is frequently split into two bills: one for the treatment and another for the time spent by the health care professional. The amount you will have to pay yourself will be determined by your insurance benefits.
What age is best for circumcision?
These data imply that circumcision should be performed when boys are and anesthetic issues are at a minimum. A longer stay in the hospital is linked to a higher risk of infection as well as higher costs (24).
Is circumcision covered by Anthem Blue Cross?
All individual and family plans now include coverage for maternity care, according to the Affordable Care Act. These new health services, many of which are offered at no cost to the patient, are also available to newborns. Coverage for routine neonatal circumcision is prominent in many private health policies.
Routine male infant circumcision is a covered benefit
In general, the member’s Evidence of Coverage (EOC) document from the health plan contains all of the rules, covered health care services, and exclusions. While some EOCs are fairly explicit on newborn circumcision coverage, others are either lacking of information or, worse, open to interpretation.
Private health insurance specifies circumcision
Routine infant circumcision is notably mentioned as a covered benefit in the EOCs for Anthem Blue Cross, Blue Shield of California, and Health Net’s individual and family plans. In the EOCs I looked at, Blue Shield and Health Net didn’t indicate the gender of the baby who can be circumcised.
Blue Shield of California PPO EOC
6) Routine infant circumcision in an outpatient setting within 18 months after birth.
**Circumcisions are covered when medically necessary for Covered Persons aged 31 days and older “Surgery and Services for Outpatients.” Please refer to the “For applicable Copayments and Coinsurance, see the “Outpatient Surgery and Services” section.
Health Net HMO EOC
*** Circumcisions for members 31 days and older are covered under outpatient surgery when medically necessary. Copayments for other professional services and outpatient hospital services are included under “Other Professional Services” and “Outpatient Hospital Services,” respectively.
Anthem PPO EOC
Routine nursery care for the Newborn during the mother’s typical Hospital stay, including circumcision of a covered male Dependent and genetic disease screening of a Newborn delivered under a law or regulation-mandated program;
Circumcision missing from some health plans
Circumcision is not a covered benefit for other health insurance providers and health plans participating in the Covered California exchange for individual and family policies. In member agreements or EOCs for Kaiser, Western Health Advantage, and Chinese Community Health Plan, I found no reference of routine infant circumcision. That doesn’t rule out the possibility of circumcision being covered under those policies.
Medi-Cal won’t cover circumcision
Contrary to private health individual health insurance, the Managed Health Care HMO plans provided to current and expanded Medi-Cal participants make it plain that circumcision is not a covered benefit. In other words, if the parents of a child enrolled in a Medi-Cal (Meidcaid) health plan want their infant son circumcised for non-medical reasons, they will be responsible for the entire cost of the treatment. The health plan will not cover the cost of circumcision for the practitioner.
Medically necessary versus cosmetic surgery circumcision
Circumcision will only be covered if it is medically required, according to all commercial and public health plans that serve Medi-Cal members. There are times when a newborn baby boy’s foreskin needs to be medically removed or fixed to correct an anomaly. Circumcision is, in many ways, seen as cosmetic surgery.
Cosmetic surgery (surgical that alters or reshapes normal body structures to improve one’s look) L.A. Care Medi-Cal member handbook
Prostate cancer prevention
According to a recent study, those who were circumcised had a decreased risk of prostate cancer. Circumcision with prostate cancer: a population-based control study in Montreal, Canada, according to the abstract in BJU International.
Circumcised males had a slightly decreased risk of prostate cancer than uncircumcised men (OR 0.89, 95 percent CI 0.761.04), albeit the difference was not statistically significant. In men under the age of 36, circumcision was found to be protective (OR 0.55, 95 percent CI 0.300.98). Men circumcised within one year of birth had a lesser protective effect (OR 0.86, 95 percent CI 0.721.04). Circumcision was found to have the largest protective impact in Black men (OR 0.40, 95 percent CI 0.190.86, P-value for interaction 0.02), but no link was established with other ancestral groups.
Our findings add to the growing body of data that circumcision can help prevent prostate cancer, particularly in males under the age of 36, while circumcision before the age of one year may also be beneficial. Only Black males, who have the greatest risk of illness, appeared to benefit from circumcision. More research investigating the effects of circumcision on prostate cancer risk based on ancestry, as well as the impact of circumcision age, is needed.
Prophylactic mastectomies
Adult men may seek circumcision after the age of 30 to lower their chance of prostate cancer, just as many women are opting for a double mastectomy to eliminate their risk of breast cancer. In both cases, individuals who are capable of making an informed decision are reaping the preventive benefits of irreversibly modifying one’s body. Women who are at risk for breast cancer might have a genetic test to check if they have the “breast cancer genes.” Unfortunately for males, no definitive association between intact foreskin and prostate cancer in adult men has been identified, whether through genes or STIs.
Circumcision resources
There are numerous websites available to assist parents in learning more about circumcising their newborn baby boy. The fact that circumcision is a covered benefit under your health plan isn’t always the best incentive to get it done. It would be good for health plans that do include circumcision to help educate moms and fathers about what many people regard as superfluous aesthetic surgery on a newborn who is completely dependent on the health-care system.
Does my health plan cover circumcision?
Downloading the Evidence of Coverage document in pdf format is the quickest way to see if your health plan covers regular infant circumcision. Under Edit> Find>Open Full Reader, select Edit> Find>Open Full Reader. When you search for circumcision and type it into the search box, you’ll get a list of all the pages that contain the term. If circumcision is not listed in the EOC, you can call your health plan to determine if procedure is covered. Some of the EOCs for the various plans are given on my website in the drop down menu of carriers under Health Plans>Individual and Family>. Some providers do not make their EOCs widely accessible online. Please let me know whether your health plan covers “routine baby circumcision” and I’ll update the list.
Is circumcision covered by Aetna insurance?
When performed for medically essential reasons, most AETNA health insurance plans cover the expense of adult circumcision. AETNA normally does not cover circumcision for religious, aesthetic, or hygienic reasons.
Are circumcisions covered by Medicare?
Is circumcision covered by Medicare or private health insurance? Only if your child’s circumcision is medically necessary may you get a Medicare rebate. A part of the total cost will be covered by the refund. You may be able to claim the costs of circumcision if you have private health insurance.
Can circumcision be done without surgery?
Investigators from Rwanda report in the online issue of the Journal of Acquired Immune Deficiency Syndromes that a device that delivers non-surgical male circumcision without anaesthesia or the need for stitches is effective, safe, and may be used in non-sterile situations.