Breast Reduction: Q&A

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I am a 38DDD, Would Insurance Cover Breast Reduction? (Photo)

I am 5ft 10 in and weigh 199 lbs.I am a 38ddd and I am having back shoulder and neck pain. I love my breast but cant deal with the pain. I have my first consultation coming up soon. Just wondering what size would my breast be after removing 610grams from eash breast? Average. Judging by the picture do u think I am a good candidate for a breast reduction? And do u think that insurance might cover my surgery?

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600-649cc candidate insurance

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6 Doctor Answers | Asked by loubelle in Bronx, NY

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Good candidate for breast reduction

Yes, judging from your photo you would be a good candidate. More importantly however are the medical problems accompanying your large breasts. If you have pain, chaffing, and have tried good support bras without success, then you should qualify. It doesn't matter what your plastic surgeon or you think however, it is what the criteria of your insurance company is that determines whether it is covered. Their criteria differs from one insurance company to another... more

Randy Proffitt, MD

3 reviews

Mobile Plastic Surgeon

I am a 38DDD, Would Insurance Cover Breast Reduction? (Photo)

If you could lose 10 to 20 pounds it would help in obtaining insurance coverage as to height vs weight ratios. Otherwise yes I believe you could obtain insurance coverage.

Breast Reduction Candidate?

Thank you for the question and picture. Based on your description you may be a good candidate for breast reduction surgery; it may be in your best interest to drop weight first (if that is one of your goals). Unfortunately, there is no way of predicting whether a specific insurance company well cover your procedure. 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... more

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Questions about being a candidate for a breast reduction as well as insurance issues

Your photos and information is helpful with regard to your questions. Clearly, your breasts are large and significantly asymmetrical and the symptoms that you describe at compatible with your enlarged breast size. Therefore, you could definitely benefit from a breast reduction. Your insurance company would need to be contacted to make sure that the surgery is a covered benefit. Have your plastic surgeon (do you have one?) evaluate your breasts and then submit the information to your... more

Breast Reduction Surgery

As far as insurance coverage, you would need to check with your insurance company and your plan's coverage criteria. In many cases, at least 500 cc would need to be removed from each side. You look like you would be a good candidate, but would need a full examination to know for sure. You can expect to be reduced several sizes, but we cannot give you exact estimates without seeing you in person. Good luck.

Insurance Covering Breast Reduction Surgery

You are most likely a candidate for breast reduction surgery due to your breast size and related pain. However, it will depend on the insurance coverage that you have as policies can vary greatly. Most will want to know what you have already tried such as, physical therapy, good support bras, weight loss, etc. See a board certified plastic surgeon for a consultation and your surgeon should be able to help you obtain approval from your insurance company. see video

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

Breast Reduction: Q&A