Will insurance cover me if my breast causes pain?

Hi Tiffani84, 
I understand your concern.In some cases, breast reduction is deemed medically necessary and covered by some medical insurance provider provided that your breasts size has caused significant symptoms like pain. It would be best, however, to speak with your medical insurance provider and check your insurance policy to determine which procedures are covered. 
Daniel Barrett, MD, MHA, MS

Certified, American Board of Plastic Surgery

Member, American Society of Plastic Surgery

Member, American Society of Aesthetic Plastic Surgery

BRs which are medically necessary (i.e. you suffer back, shoulder, and neck "pain" with DOCUMENTED medical attention over a period of a YEAR) are typically covered by medical insurance providers.  If not, they may try to deny you based upon a lot of things such as lack of symptoms, lack of previous medical management, and lack of enough tissue that should be removed. Read your medical insurance certificate of coverage. Determine what medical information is required for your insurance to issue a pre-authorization or predetermination of benefits for BR surgery. Then seek consultation with a board certified plastic surgeon who can evaluate your medical condition, discuss the pros and cons of this surgery as it applies to you, determine the amount of tissue to be removed, and help you in completing the paperwork required.  Kenneth Hughes, MD, ABPS Board Certified Plastic SurgeonLos Angeles, CA

Insurance will cover breast reduction. However, one must make a case for medical necessity. In the case of symptomatic macromastia/heavy breasts, patients will often complain of intertriginous rashes, back, neck and shoulder pain as well as bra strap grooving. These symptoms have often been resistant to medical therapy, weight loss, and physical therapy.As always, discuss your concerns with your board certified plastic surgeon (ABPS).