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Size 40DD Having Issues With Fungus/Yeast Infection - Breast Reduction Needed?

asked 1 year ago by 40DDfungus in BTR, La
Latest answer by Tom J. Pousti, MD
Question viewed 726 times
Tags: DD cup, fungal infection, insurance

I have infections under my breast often. Would my insurance cover this issue ?

14 answers to Size 40DD Having Issues With Fungus/Yeast Infection - Breast Reduction Needed?

Insurance for Breast Reduction.

Yes, this is considered a medical necessity and insurance will cover. See several doctors for documentation including a dermatologist. Have good photos taken. Submit to your insurance. If denied have your doctor help ou work this out. You shoiuld get insurance. Good luck.

George Commons, MD
Palo Alto Plastic Surgeon

Insurance coverage for breast reduction

The most common complaints that I hear from patients desiring breast reduction are: Chronic neck, back and shoulder pain Poor posture Bra strap grooving chronic intertrigo under the breasts Insurance coverage varies from patient to patient. Some companies require evidence of failed conservative therapy, some require a specific amount of tissue removal based on a patients BMI, some don't cover the procedure at all. A letter from your surgeon to the your... more

Mark Preston, MD
Columbus Plastic Surgeon

Breast Reduction and Insurance Coverage?

Thank you for the question. Based on your description you may be a good candidate for breast reduction surgery for physical relief and control of infections. 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... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast reduction covered by insurance

If you have medical, dermatological problems with your breasts, then your insurance should cover your surgery which will hopefully correct this problems. We usually try and get pre-autrhorization for our patients by taking photos and writing a letter on our patients behalf for each insurance plan is different. Watch my video.

Edward J. Domanskis, MD
Orange County Plastic Surgeon

Breast Reduction and Rash

I often see patients in my office who have large breasts and complain of rashes. If you also have back and/or shoulder pain you may be a good candidate for breast reduction surgery. Consult with a board certified plastic surgeon. Upon examination, the surgeon will make a recommendation. If you are a candidate, the office staff should assist you with your insurance company. My breast reduction patients are extremely happy to live a life without pain and rashes. best wishes! more

Christine Sullivan, MD
Columbus Plastic Surgeon

Indications for breast reduction surgery

Simply said, size 40DD and yeast infections under breasts are an indication for breast reduction surgery based on a functional need basis and should be covered by your insurance company. Variables which could prevent coverage are a high Body Mass Index (BMI) and a need for weight loss and lack of any history of previous conservative medical management. Also, coverage varies based on type of insurance coverage. It is best to consult with your family physician for documentation and basic... more

S. Daniel Golshani, MD
Beverly Hills Plastic Surgeon

Breast Reduction and Insurance Coverage

Hi 40DDfungus, Each insurance company is different and, not surprisingly, it is become harder and harder to get insurance companies to pay for this procedure. In general, though, they will cover the procedure if you can show that removing the indicated amount of tissue (more on that below) will be likely to alleviate certain specific symptoms. First, then, you have to have those symptoms. Typically they would include neck, back and shoulder pain, bra strap grooving and/or intertrigo... more

Alan Engler, MD
New York Plastic Surgeon

Size 40DD Having Issues With Fungus/Yeast Infection - Breast Reduction Needed?

There are a list of insurance criteria for approved breast reduction. Call your insurance company to see if you fit their criteria. I believe you do. Or see a boarded PS in your area to send a predetermination letter to your insurance company with a photo of your breasts. After receiving an approval letter then have the operation. Best from MIAMI

Darryl J. Blinski, MD
Miami Plastic Surgeon

Insurance coverage for breast reduction

Recurrent rashes under the breasts may qualify your breast reduction for insurance coverage. It is best if you have documentation of seeking medical care for these rashes, such as a doctor's note or a record of prescription medications for the rashes. The strongest criteria for insurance coverage of a breast reduction is a documented history of back pain not responding to other treatments and an operative plan to remove a significant weight of breast tissue per breast (google 'Schnur... more

Nia Banks, MD, PhD
Washington DC Plastic Surgeon

Breast reduction insurance coverage.

Insurance Coverage for Breast Reduction 80% of breast reduction questions on RealSelf are about insurance coverage. Here are some helpful points. 1) Insurance companies try very hard not to pay for breast reduction, even though they should. Even small breast reductions relieve many symptoms such as back pain and shoulder pain, and even some types of headaches. 2) Very big reductions (like from an F cup to a C cup) will usually be covered. 3) Many policies will pay... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Breast reduction for skin rashes

Recurrent rash and infection under the breast, also called intertrigo, is a very worthy consideration for breast reduction. We feel coverage should be available and breast reduction will help. However insurance policies can be very specific when it comes to criteria for breast reduction, and some will exclude the benefit altogether. Consultation with a plastic surgeon within your health plan, and a predetermination of benefits will sort things out. Best of luck, peterejohnsonmd more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Breast Reduction Insurance Coverage

With your history of repeated fungal/yeast infections on the undersurface of your breasts and the size of your breasts (40DD), most insurance companies would likely cover the surgery. There is, however, a good bit of variance among insurance cos. It would be helpful if you could also document a history of back or neck pain which has not responded to conservative measures.

John Whitt, MD
Louisville Plastic Surgeon

Breast Reduction and relief of rash.

Many patients have good symptomatic relief of back pain, shoulder pain and rashes under the breast after reduction mammoplasty. Insurance companies differ in their criteria for coverage but usually require a minimal amount of tissue to be removed and may also require documentation of symptoms by your doctor. Consult a board-certified plastic surgeon experienced in breast reduction surgery.

Stephen Delia, M.D.
Boston Plastic Surgeon

Rashes and breasts

I fyou have very alrge breasts and are having problems with rashed, then you may be a candidate for a breast reduction. As for coverage by insurance, you should really ask your insurance company what their criteria are for coverage.