Insurance criteria for Breast Reduction coverage

Every insurance company has specific criteria that they use to determine the medical necessity of a breast reduction. This is based on multiple factors and differs from insurance company to insurance company (and from state to state in the case of government plans). The things that they will look at are primarily the symptoms you are having related to your large breasts, the different non-surgical remedies you have tried (eg chiropractor, medications, physical therapy, etc.), your height, weight, and an estimate of how much weight is to be resected. The place to start is with a consultation with a board-certified plastic surgeon who can review whether you are a good candidate for breast reduction surgery.