Age 50, 38J. Am I a Candidate for Breast Reduction (Covered by Insurance)?

I Am a 50 Yr Old Female with 38 J Breasts. Tying to Find a Bra That Size Very Expensive and hard to find. my back and neck hurt constantly and i have a hard time exercising. i do walk and am eating healthy. my weight is 180 and i'm 5'2.do you think i am a good candidate for a reduction? will insurance pay for a reduction with out having to go too physical therapy?

Tags:

Comment on this

8 Doctor Answers | Asked by SUANN in GAINESVILLE, FL

Doctor Answers (8)
Community Comments (0)

Breast Reduction through Insurance

Thank you for the question. Breast reduction surgery is one of the most patient pleasing operations we perform. It sounds like, based on your description, that you may be an excellent candidate for the procedure. Each insurance company differs with their criteria to authorize the surgery. I send a letter to the insurance company with the patient's photos for authorization. I would suggest in person consultation with a well experienced board-certified ... more

Insurance and Breast Reduction Surgery

Insurance coverage of breast reduction surgery has become more difficult to obtain in recent years. The requirements include symptoms such neck and back pain that have not responded to physical therapy, and an anticipated minimum weight of breast tissue being removed which varies from company to company. Your breasts are large enough that the weight requirement should be met and ultimately your breast reduction should be covered by your insurance company.

38 J Breasts

If your size is truly a 38 J, then you could benefit greatly from a breast reduction procedure. An insurance pre-authorization letter will need to be submitted by your PS to determine insurance coverage. My breast reduction patients are among the happiest patients I treat and they all say the same thing, "i wish I had done this earlier' Don't delay, comfort is waiting for you after your procedure!!

Breast Reduction Helps to Relieve Symptoms/Often Covered by Insurance

Large breasts such as yours (38J) can cause many symptoms, including those you have described. Breast reduction surgery significantly helps to reduce those symptoms that are caused by large breasts. As a generality, my breast reduction patients are among my happiest because not only are their symptoms improved (or relieved entirely), but their breasts typically look better, too. Furthermore, activity levels are increased, and many of my patients that couldn't... more

Breast Reduction and Insurance

You should definitely qualify for a breast reduction, however it depends on what your insurance policy states, insurance companies can vary greatly on this, and some state that they do not cover breast reduction at all. For those that do, they have different requirements. Some want documentation from different sources documenting the different things that you have tried to alleviate your symptoms, such as physical therapy, special bras, pain relievers, etc. and some only require... more

Breast reduction and insurance coverage

If your breasts are a J cup the breast reduction surgery would probably be covered by your health insurance company. Your doctor will need to examine you first and probably will need to submit your photos to the company.

Breast reduction covered by insurance

Based on your symptoms and body structure, you would likely be a candidate for a breast reduction. I would consult with a board certified plastic surgeon to be examined and to review your current health insurance. Photos will need to be submitted to the insurance company before they will approve the surgery. It sounds like you have enough breast tissue to qualify for this procedure. Best wishes, Dr. Bruno

Breast reduction candidate

I think you are a good candidate for breast reduction based on your bra size and your physical symptoms. Breast reduction is a great operation for relieving pain in the upper back, shoulders, and neck in women with large breasts. I would guess that your insurance company will cover it, but you would need an examination by a surgeon. He will submit an estimated weight of reduction to your insurance company. You will likely also need corresponding information from your... more