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I'm 5' and 250lb with back Pain, Am I Candidate for Insurance to Cover A Breast Reduction.

asked 8 months ago by Pattycax in Kansas
Latest answer by Gary M. Horndeski, MD
Question viewed 148 times
Tags: age 25-34, 250-269 lbs, 5 ft 0 in to 5 ft 3 in, back pain, DD cup, insurance

I'm 5ft tall, 250lbs and 44dd. My breasts hang low yet never had children. Am I a good candidate for a reduction covered by insurence? My back hurts constantly. 

5 answers to I'm 5' and 250lb with back Pain, Am I Candidate for Insurance to Cover A Breast Reduction.

+3

Insurance reqirements for Breast Reduction surgery

Hi, Document, document, document! The more physicians you can get to recommend a breast reduction to relieve your symptoms, the more likely you are to get approved. Insurance companies make money by denying coverage, so it is your job as a policy holder to 'build your case'. Begin with your primary care physician, pain specialist, chiropractor, back/spine specialist, ob/gyn, etc. I strongly suggest that you lose weight prior to your breast reduction. In general, insurance... more
Gary M. Horndeski, MD

Houston Plastic Surgeon

www.horndeski.com

+1

Insurance coverage for breast reduction.

Insurance Coverage for Breast Reduction 80% of breast reduction questions on RealSelf are about insurance coverage. Here are some helpful points. 1) Insurance companies try very hard not to pay for breast reduction, even though they should. Even small breast reductions relieve many symptoms such as back pain and shoulder pain, and even some types of headaches. 2) Very big reductions (like from an F cup to a C cup) will usually be covered. 3) Many policies... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

I'm 5' and 250lb with back Pain, Am I Candidate for Insurance to Cover A Breast Reduction.

From your description you would not be approved based upon the Metropolitian Life Insurance ht vs wt tables. That does not mean you are not a good candidate for a breast reduction. it just means you are not meeting the citeria for that insurance company's guidelines.
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Breast reduction insurance coverage

Based on your description you may be a good candidate for breast reduction surgery; it may be in your best interest to drop weight first. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure. This... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Insurance covered breast reduction

Each medical insurance company has its own guidelines regarding eligibility for breast reductions. If the weight of your breasts is causing chronic symptoms such as neck, shoulder and back pains and the symptoms can be documented, your insurer may cover the procedure. Good luck!
Joseph N. Togba, MD

Oakland Plastic Surgeon

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