Financing breast reduction through insurance?

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8 answers to “Financing breast reduction through...”

A: Insurance commonly covers reduction of very large, heavy breasts

By Sutton Graham II, MD - Greenville Plastic Surgeon

Insurance companies differ, but they commonly cover reduction of very large, heavy breasts that cause back, neck and shoulder pain. Such surgery is quite common and a great relief to many patients. Your situation is different. Your condition sounds like asymmetry. A variety of treatment options are... more

A: No insurance won't cover it

By Christopher L. Hess, MD - Fairfax Plastic Surgeon

I do many reviews for insurance companies for both breast reduction and breast asymmetry. The reality is that your insurance company doesn't care that you have a debilitating breast abnormality. Your insurance company is only concerned about making money so the less they pay to physicians for surgery the... more

A: Every insurance company is different

By David Shafer, MD - Manhattan Plastic Surgeon

Every insurance company is different. The only similarity is that they all try to deny and delay so they do not have to pay for anything. However, if you have a significant asymmetry, the it is worth pursuing insurance coverage for the procedure. Good Luck.

A: Functional, reconstructive, and cosmetic plastic surgery

By Otto Joseph Placik, MD - Chicago Plastic Surgeon

Despite what you may consider severe asymmetry, many insurances no longer cover these procedures. In the past, insurance companies would pay for reconstructive surgery, and this included congenital deformities or severe asymmetry such as yours. However, recently they have changed their definition to functional... more

A: Depends on the insurance company

By Bahram Ghaderi, MD - Chicago Plastic Surgeon

Coverage for breast asymmetry without any symptoms of back and neck pain or other functional disability will likely not be a covered benefit for most insurance companies. However, all insurance companies have different criteria and it really depends on your specific plan. Almost all, however, will consider... more

A: No insurance will cover this

By Richard P. Rand, MD - Seattle Plastic Surgeon

Breast asymmetry is not a covered benefit under any insurance. They make a very clear distinction between "functional" vs "cosmetic" issues and this would clearly be cosmetic unfortunately. Also, in terms of insurable breast reductions, you don't sound large enough to apply for coverage because most all... more

A: Unilateral insurance breast reduction depends on insurance coverage and previous treatments tried

By Peter C. Haines, MD - Columbia Plastic Surgeon

Each insurance plan has their own policy about coverage for asymmetry. Your best bet is to start with getting letters of support from your primary and or gyn physician stating the issues you deal with because of your asymmetry (i.e. back/ neck/ breast pain, rashes, grooving of the shoulder(s), inability... more

A: Medical insurance for diseases, not asymmetries

By Robert M. Freund, MD - New York City Plastic Surgeon

Does not sound like a disease! Medical insurance is designed to treat diseases, not assymetries. In my experience, it is not right to try and bill an assymetry in the same manner as say large breasts. Large breasts can cause back pain, breast pain, notching of the shoulders, rashes under the breasts. All of... more