Will insurance cover Breast Reduction for H cup breasts?

I have been suffering for years with back, neck, and shoulder pain due to the size of my breasts but never got surgery due to lack of insurance and I wanted to have a child first.

Now, I have had my child which has caused my breast to be even larger now they are a size 42 H. I have medicaid but it is the blue card(non traditional medicaid), what would I have to do to get Breast reduction covered?

3 answers to “Will insurance cover Breast...”

A: Breast reduction coverage

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

You may want to read my answer here so that I avoid being repetitive: http://www.realself.com/question/breast-reduction-insurance-coverage In most instances with private insurance, your doctor can submit a letter of predetermination of benefits to ascertain if your procedure is covered. However, Medicaid... more

A: Insurance coverage for breast reduction

By Lauren Greenberg, MD - San Francisco Plastic Surgeon

Insurance coverage has gotten more difficult over the years. When I started my practice, most of my reductions were covered by insurance. Now most are not. Lifting the breast and reducing the size helps with back pain, neck pain, shoulder notching, rashes and infections of the skin under the breast, and... more

A: Insurance criteria for Breast Reduction coverage

By Jason Brett Lichten, MD - Columbus Plastic Surgeon

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... more