Breast Reduction Insurance Coverage for Breast Asymmetry
- Asked by 7724anon in Richmond, VA
- 3 years ago
I am considering breast reduction surgery. I have large asymmetrical breasts. My best estimate after a bra fitting is that I have one side that is an F and one side the is a E. I have many physical symptoms in addition to the assymetry, including difficulty with some exercise, back, shoulder, neck pain. I also cannot find a bra that fits me appropriately so most of the ones I end up wearing give me sores on the sides. Am I large enough to potentially be covered by insurance (I want a C)? What documentation would I need to submit?
Breast Reduction and Insurance Coverage?
Based on your description you may be a good candidate for breast reduction surgery; It is one of the most patient pleasing operations we perform.
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 working with a well-trained/experienced board-certified plastic surgeon.
Insurance coverage for a breast reduction
You should first check with your insurance carrrier to determine what their cirteria are. Then see a plastic surgeon. You may also need notes from a treating physician for back pain and neck pain or for rashes.
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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.