Justice determines that the health plan covers breast surgery for a patient in Juiz de Fora

After failing to obtain coverage for a breast reduction operation by a health plan operator in Juiz de Fora, a woman received a positive decision from the XVII Civil Chamber of the Court of Justice of Minas Gerais (TJMG) to have her health covered for her procedure. Health insurance plan. She needed to prove that the procedure had no aesthetic bias.

This achievement came after I appealed against the city comarca’s decision. The entity proves that the plan does not need to pay for the surgery. The new decision, however, was based on a diagnosis of “gigantomastia,” a medical condition in which a patient feels crippling pain in the spine due to breast size.

The judge responsible for analyzing the appeal concluded that there was a risk of permanent bodily harm to the woman. In a memorandum, TJMG posted that the judge added the strength of evidence. “If there are compelling elements in the records indicating both the possibility of absolute right and the risk of harm, the award of urgent relief is strict, and identifies the defendant operator to cover the enlargement breast reduction surgery immediately,” Rapporteur Roberto was quoted as saying. Soares de Carvalho Barbosa, according to the text.