Will Having Scoliosis Make Me a Better Candidate for Insurance Helping with Breast Reduction?

I'm currently 22, 189lbs, 5'4" and wear a size 38G. I have had scoliosis since I was a kid, so I'm no stranger to back pain. I'm wondering if my having scoliosis would factor into my insurance approving a breast reduction?

Tags:

G cup scoliosis insurance

Comment on this

7 Doctor Answers | Asked by whysomad in San Antonio, TX

Doctor Answers (7)
Community Comments (0)

Breast reduction

Insurance companies consider the following factors when determining whether they will cover breast reduction surgery: physical symptoms such as back and neck pain, photos submitted by your plastic surgeon and the estimated amount of breast tissue which will removed from each breast. They usually require 400 - 500 grams removed from each breast. It is worth mentioning to them that you have scoliosis but the preauthorization will likely be made on the three factors I have just mentioned... more

Will Having Scoliosis Make Me a Better Candidate for Insurance Helping with Breast Reduction?

The back deformity will not determine whether the insurance with approve the breast reduction. It could even help. Best to see in person a boarded PS in your area to write your insurance company a letter of pre determination of benefits.

Breast reduction coverage and scoliosis

You have to check with your insurance company regarding coverage for the procedure. Often back issues documented that have not improved with conservative measurres may be an indication to approve the surgery if your breasts are very large.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

With G cup breasts and scoliosis, you should get insurance coverage for breast reduction.

Hi. This is an article I wrote that you may find helpful: 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... more

Insurance coverage for breast reduction with scoliosis

Yes, If you can establish that the back condition is exacerbated by the size of your breasts. Generally a G cup reduction would be approved and any supporting documentation that your orthopedist could supply would be of assistance in the preauthorization process.

Breast Reduction Coverage and Scoliosis

Thank you for the question. The history of scoliosis may or may not help you in your efforts to obtain insurance company authorization for the breast reduction surgery. If, for example, your spine doctor can write a letter stating that the breast reduction surgery may be helpful in alleviating some of your symptoms this may be helpful. Unfortunately, insurance companies are making patients jump through more and more “hoops”... more

Insurance coverage for breast reduction with scoliosis

Having scoliosis will not make it more likely for the insurance company to cover a breast reduction surgery. If they think your back pain is due to the scoliosis instead of the heavy breasts they may deem the reduction not a medical necessity. Certainly the large breasts may exacerbate your back pain initiated by the scoliosis. The insurance company is more likely to consider coverage for breast reduction surgery if the amount of breast tissue to be removed is significant.... more