How to convince insurance to cover breast reduction?

Every insurance company is different, and they are trying to make it really difficult to get approval.  Usually if you can document the symptoms from doctor's notes and your of a certain height and weight combined with a large breast size, then approval is usually easy.

They look as several factors when they try to decide if the patient will be covered under the health insurance coverage for breast reduction.  They look at your symptoms in addition to your height and weight, breast size and the amount to be removed.  They have a formula that is based on your height... more

Insurance companies look at your symtoms, your body surface area, and the estimated weight of tissue to be removed when making a determination of whether or not to cover breast reduction surgery.  If you are willing to have a C-cup postop, your procedure would probably be covered by most insurance companies.

If you have documented symptoms of back pain, neck pain, shoulder pain, severe grooving from your bra straps, or rashes, your insurance carrier may cover a reduction mammaplasty. Before you start the process, you should check with your insurance carrier to ensure that you don't have a policy which excludes... more

 The best way to start is with a consultation with a board certified plastic surgeon. Look for a member of ASAPS or ASPS. Different insurance carries have different criteria for coverage. Your height and weight may be used to calculate your Body Mass Index(BMI).  If your are in the overweight... more