Is there any way that BCBS would cover a breast reduction and a panniculectomy for the purpose of relieving osteoperosis? Can these surgeries be tied into a mental health issue? I have a 25-pound pouch that hangs lower than my hooha, itches, and my breasts are down to my belly button. I've had lapband surgery but wasn't successul. I have maintained the same weight for 2 1/2 years now, losing the same 10 pounds over and over. I'm stable. I just want the fat cut off (a mini tuck?) and the boobs cut off to alleviate pain and more loss of bone density due to the extra weight tugging on my spine.