Breast reductions and Medicaid
There are still many of us out here who accept Medicaid. The criteria remains the same as with any other insurance. You will need to demonstrate symptomatic macromastia ie neck back and shoulder pain, rashes, bra strap grooving, etc. The amount that needs to be resected will be determined by the Schnurr scale.
The biggest barrier to you getting a breast reduction is not Medicaid but is your weight. At your weight, you will have more issues with wound...