I am quite sure my insurance plan cant cover the cost of breast reduction surgery. They don't consider it a medical necessity even though my breasts are causing me severe back pain and neck aches. About how much is a great plastic surgeon going to charge for a breast reduction? Does this include anesthesia too? Warm thank you for helping me
Breast reduction surgery is usually covered by insurance, but the insurance companies constantly change the rules regarding the conditions under which it is covered.
These cases vary a great deal but will probably run you around $10,000 (when you pay cash) by the time you add all the costs into the equation.
Insurance companies are adopting very strict criteria to cover for a breast reduction. Even when all criteria are met, they still might not pay it!! A pre-authorization will also not help because they come back and claim it is a cosmetic procedure.
My advice is to try to check with them on the proper documentation required, if you feel they will not help you, do not waste your time and plan for the surgery as a cash payment.
It is more painful to think they will cover and get the bills later; I would rather you plan for it. Financing options are making this more affordable. In general, an average of $7000 will cover it. Hope that helps!
Breast reduction, or reduction mammaplasty, may sometimes be covered by one's health insurance plan. Having said this, many plastic surgeons do not participate with insurance plans. Insurance companies require patients to meet certain guidelines to qualify for a breast reduction. They will require that the patient meets certain height and weight requirements and also require that a certain weight of breast tissue is removed from each breast prior to paying for any procedures.
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