confused by these two lines

Insurance coverage:

View post on imgur.com

I had posted in another sub but finally found the details of coverage.

I have a congenital deformity, mammary hypoplasia, otherwise known as tubular breasts. It is severe. This has negatively affected me physically and mentally since age 10. Pain and dysphoria. Some details in other post but I don't believe they're important.

So the line C says "surgery", treatment, and correction for congenital defects are covered.

But line D says treatment and correction for breast deformities are not. It doesn't mention the surgery which is…. A treatment and a correction.

While it is technically a cosmetic procedure, it is a quality of life procedure for my situation which corrects a defect that causes discomfort, pain, and severe mental health consequences. I would have them straight up removed if that was the only option presented to me, the ugliness of them is only half the struggle.

I have a consultation with a surgeon this coming month. Is this something that the surgeon should mention to who does the pre-approval process? If so, what should she say? Thank you.

submitted by /u/ActuaryEarly279
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