Medical insurance for diseases, not asymmetries

Robert M. Freund, MD answers: Financing breast reduction through insurance?

If one of my breast is extremely larger than the other. Will insurance cover the procedure? One side is probably a very small A and the other is a very full B, almost C. What's your experience with this?


Robert M. Freund, MD
8 months ago

Does not sound like a disease! Medical insurance is designed to treat diseases, not assymetries. In my experience, it is not right to try and bill an assymetry in the same manner as say large breasts. Large breasts can cause back pain, breast pain, notching of the shoulders, rashes under the breasts. All of these things can make a woman suffer miserably. We should not attempt to use money designed for this problem for something that is only emotionally troubling--unless your insurance company covers emotional issues with breast assymetry.

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A: Every insurance company is different

David Shafer, MD
8 months ago

Every insurance company is different. The only similarity is that they all try to deny and delay so they do not have to pay for anything. However, if you have a significant asymmetry, the it is worth pursuing insurance coverage for the procedure. Good Luck.

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