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Will my insurance cover Breast Reduction and Tummy Tuck?

Dear Dr.,

I am a mother of 4 and even though I eat healthy food and exercise 5 times a week, I am not able to lose the weight. I have been considering Lipo and Tummy Tuck.

I also have large breast (38DD) which causes me to get rashes between the breast and the ribcage. I also get constant back aches and shoulder pains. I'm thinking about Breast Reduction, too. Will my insurance pay for these procedures or at least part of the procedures? Thanks.

4 answers to “Will my insurance cover Breast...”

A: Will my insurance cover Breast Reduction and Tummy Tuck?

Peter A. Aldea, MD

No. No insurance company that I know will cover BOTH a tummy tuck (a cosmetic surgery) and breast reduction (each company has different criteria for what they cover). IF you policy has "BREAST REDUCTION BENEFITS" it MAY pay for your surgery PROVIDING the surgeon (who must be a... more

A: Insurance covering tummy tuck and breast reduction

Elan B. Singer, MD

Insurance companies are difficult to deal with when it comes to plastic surgery.  They only cover "medically necessary" procedures and they (not the patient or doctor) decide what procedures are medically necessary.  Having said that and from your description, there is a reasonable chance... more

A: Insurance Coverage of Breast Reduction & Tummy Tuck

John Whitt, MD

There is a possibility that your insurance will cover a breast reduction, depending on your symptoms and the estimated weight of tissue to be removed.  It is very unlikely that your TT would be covered.  You should seek consultation with a Board-certified Plastic Surgeon who could give you a better... more

A: Insurance Coverage for Breast Reduction

Lavinia Chong, MD

I usually ask patients, seeking breast reduction and abdominoplasty if they and their spouse have finished your family before offering them surgical solutions.  These operations are not incompatible with a full-term pregnancy and lactation, however the results will be negated,... more

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