Blue Cross Blue Shield of TX Breast Reduction Coverage

I am from RGV, TX and I was wondering if my insurance would help me cover the costs of a breast reduction. I am 20 years old,32 DD, 5'0" tall and I weigh about 110. I do have some minor grooves on my shoulders from the bra straps, and I do endure back pains although I ignore it. I was just wondering if Blue Cross Blue shield will cover some or all of the costs of a breast reduction. Thanks!

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6 Doctor Answers | Asked by Uhcougar21 in RGV, TX

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Breast Reduction Insurance Coverage?

Thank you for the question and congratulations on your decision to proceed with breast reduction surgery. It is one of the most patient pleasing operations we perform. Based on your description you may be a good candidate for breast reduction surgery; for physical and emotional reasons. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care... more

Breast reduction coverage

Every insurance compnay has different criteria to assess whether or not they will cover a breast reduction. You should contact your insurance company and find out.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Insurance coverage of breast reduction

Insurance companies have different criteria for coverage of breast reduction surgery, including symptoms attributable to the weight of the breasts (such as pain and bra grooving), and amount of breast tissue expected to be removed at the time of the surgery (mass in grams). After consultation with a plastic surgeon, his/her office should be able to assist you with submitting all the requisite information for pre-authorization of your surgery.

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 little more than... more

Blue Cross Blue Shield of TX breast reduction coverage

Find a participating boarded plastic surgeon in your area. From your description you are a perfect insurance covered candidate for a breast reduction. Good Luck from Miami Dr. B

Insurance and breast reduction

Find a participating surgeon with BCBS and then schedule a consulatiion. Upon completeing your history and physical examination, probably including photographs, your surgeon can then prepare a letter of predetermination of benefits to be submtted to your carrier to ascertain your level of coverage.