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How To Best Get Coverage For Reduction of 34H Breasts?

asked 5 months ago by mello yello blue in Sacramento, CA
Latest answer by Joe Gryskiewicz, MD
Question viewed 721 times
Tags: Blue Cross/Blue Shield, H cup, insurance, recommendation

im 140 pounds 5'3 an 34H,one of my legs is 1/2inch shorter then the other making having large breast more uncomfortable! my family doctor is refusing to help me in the process of getting a breast reduction saying if i work out my back more I will be fine. Im not sure what steps i should take to get this procedure done. I only have blue cross through the welfare program so im limited to what doctors are available and my insurance is super strict! I need help! Im open to all advice, thank you

8 answers to How To Best Get Coverage For Reduction of 34H Breasts?

+1

Breast Reduction

I am sorry you are suffering. You are of slim build, and H cup breasts would cause a skeletal imbalance affecting your posture and contributing to back discomfort. I would contact a board certified plastic surgeon directly. All the best, "Dr. Joe" Gryskiewicz
Joe Gryskiewicz, MD

Minneapolis Plastic Surgeon
+1

Breast reduction-Medicaid coverage

Unfortunately, it is not uncommon for family doctors to interject themselves into the breast reduction process and make it difficult for the patient. Honestly, I think that, in the current regulatory environment, they think that the $ will come out of their own pockets. However, that said, here is what you need to do: call the insurance company and ascertain whether you must be referred to a plastic surgeon through the internist. If so, tell the insurer that your internist refuses to... more
Robert L. Kraft, MD

New York Plastic Surgeon

www.foresthillsplasticsurgery.com

+1

You will probably get insurance coverage for breast reduction.

80% of breast reduction questions on RealSelf are about insurance coverage. Here are some helpful points. 1) Insurance companies try very hard not to pay for breast reduction, even though they should. Even small breast reductions relieve many symptoms such as back pain and shoulder pain, and even some types of headaches. 2) Very big reductions (like from an F cup to a C cup) will usually be covered. 3) Many policies will pay for breast reduction if 500 grams (a... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Getting Insurance Coverage for Breast Reduction Surgery

Your family doctor probably isn't familiar with the process to get insurance coverage for breast reduction. It is usually done by the plastic surgeon's office. I would suggest that you contact your insurance company to find a Board Certified Plastic Surgeon that is under their plan and have their office help you get pre authorization for your surgery. Good luck. see video
Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon

www.dr-delgado.com

+1

Coverage for Breast Reduction

You may need to start off with a new primary care doctor. However, if you have medical insurance through welfare, you may have a problem finding a surgeon since in some states, the welfare programs haev not been paying surgeons for their services.
Karol A. Gutowski, MD

Chicago Plastic Surgeon
+1

Breast Reduction

I feel badly when I hear of a patient with breast hypertrophy being told they need to work out or lose weight and all their problems will disapppear. It shows a true lack of understanding the problem and makes me worry what else the individual fails to understand. Many insurances in our area require the primary care doctor to verify the patient's need for a reduction, so step one for you may be finding a primary care doctor that is understanding. Then you need to contact your insurance... more
Ronald V. DeMars, MD

Portland Plastic Surgeon
+1

Insurance and Breast reduction

You should seek consultation with a plastic surgery to be evaluated first, and then he/she can help advise how to go about seeking approval.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Breast Reduction Candidate?

Thank you for the question. Frankly, your family practitioner advice is somewhat ignorant; you may want to consider changing physicians. One way or another you will need to make your way to offices of well experienced board-certified plastic surgeons to get the process started. You will find that in order to obtain insurance coverage for breast reduction surgery you will have to “hoops” to jump through. The more documentation you have (for example, from... more
Tom J. Pousti, MD

San Diego Plastic Surgeon

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