Breast Reduction: Q&A
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Breast Reduction Insurance Coverage for Patients Below 18?
I am 17 years old and I weigh 130 pounds. I am 5'3" and have a 38 F/G bust. I want to get a breast reduction but my insurance say "patients are generally female and at least the age of 18". Because I am a year below this, will it effect the approval of this surgery? I have chronic neck and back pain and have quite a difficult time doing everything because of my breasts. I really want the surgery done now, so do you think my insurance would cover it? What should I do to get covered, what doctors should I see? My health insurance is Boston Health Net Plan. Thanks!
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8 Doctor Answers |
Asked by
a38fbrokemysmile
in florida
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Breast reduction insurance coverage
I encourage every women that is considering a breast reduction to call their insurance carrier and discuss their insurance coverage and the indication for medical coverage. This is particularly important for some one under 18 years old. I would also encourage you to get things in writing so the story does not change as you speak to new people each time.
After you have done your home work with the insurance company, see a board certified plastic surgeon and a preauthorization can be...
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Breast reduction for teenagers
You are correct that insurance companies have recently set minimum ages for breast reduction. Someone who, in all likelihood, has no understanding of female anatomy and development, has decided from on high that if a reduction is performed on a 17 year old, the breasts may continue to grow but that 18 is better. I personally think that there is no such correlation but that, given that many 18 year olds go away to college, this is simply a way for them to save money. What you should do in...
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Breast reduction insurance coverage
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 doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.
This documentation and letter/pictures from your plastic surgeon will help you obtain authorization. Make sure you're saying a well-trained/experienced...
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Breast reduction insurance coverage for young patients
Patients today have many great options in breast reduction surgery. Young patients should understand that their breasts will continue to grow and change at least until their early 20s. For this reason and to make sure that the patient understands the seriousness of the surgery, it is not recommended to perform a breast reduction surgery before the age of 18. Your best bet is to work with a board-certified plastic surgeon who has a great deal of experience in breast reduction and will be...
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Breast Reduction in under 18
It is truly impossible to answer your question because not only does every single insurance company have different approaches to "covering" Breast Reduction but each insurance company sells many DIFFERENT policies which may or may not have breast reduction benefits.
The best thing to do is check your policy's book and see if you have such benefits and which local plastic surgeons work with your insurance company. If you have not breast reduction benefits no amount of calling or...
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Breast reduction and insurance for 17 year old
It sounds like you could benefit froma breast reduction. As long as you are of adult size and a menstruating regularly and are not still growing, I think it is OK to go ahead with the surgery. Your insurance company shoudl not hold your age against you if you have symptomatic macromastia (bra strap grooving, neck and back pain).
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Breast reduction insurance coverage teens
You need to see a board certified plastic surgeon in your area that accepts your insurance, first. BTW you did not state the insurance you have? Than you will need a letter from the plastic surgeon, with photos, letters from your Pediatric doctor, or OB/GYN doctor as evidence you do have this issue. The letter is sent to the predetermination department at the insurance company.
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Breast reduction under 18
Your best option is to seek the evaluation of a board certified plastic surgeon and have them prepare a letter of predetermination of benefits letter to your insurance carrier to ascertain coverage. This will best answer your question whcih in my opinion should be covered.
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