What Insurance Companies Cover Breast Reduction?

asked 1 year ago by brittany_mx in Morgantown, PA
Latest answer by Tom J. Pousti, MD
Question viewed 249 times
Tags: age 18-24, 5 ft 4 in to 5 ft 7 in, F cup, insurance

Hello yes I need some advice I am 19years old and last time I got measured I was a size F now I am pretty sure they grew alot since I was last measured I just had my second child on april 21, 2011 I am in so much pain my back is hurting so badly that I can barely walk or move sometimes. I am 5'5. I was seeing if anyone knows any insurance company that can cover for a breast reduction. I really need it I take pain killers but none of them help at all with the pain, I also tryed a heating pad nothing I really can't deal with the pain anymore I barely can hold my one aughter because she to heavy it makes the pain worse and I dont like that I cant even hold my daughter because of my breast being to big it causing the back pain.

5 answers to What Insurance Companies Cover Breast Reduction?

Breast Reduction through Insurance

Thank you for your question. Insurance companies do cover breast reduction surgery but each has their own criteria for authorization. It helps to have documentation from other physicians stating that the size of the breasts are causing you neck, back and shoulder pain. In my practice, I send a letter as well as photos of the patient to the insurance company for authorization. Best Wishes!

Tom J. Pousti, MD
San Diego Plastic Surgeon

Breast Reduction - What Insurance Companies Cover Breast Reduction?

Hi brittany_mx, Most insurance companies "cover" breast reduction surgery when appropriate, but there are a few issues to consider. First, you have to check your own policy since each company is different and has its own rules; some may specifically exclude breast reduction. I am not aware of any blanket policies like that, but it merits checking carefully. Next, each company has its own requirements as far as what it considers an indication for the surgery. ... more

Alan Engler, MD
New York Plastic Surgeon

Breast Reduction and Insurance Coverage

Yes, insurance companies can cover breast reduction, which from your description of symptoms is something that can greatly improve upon your quality of life. Getting insurance to cover the surgery can be tricky, but it starts with you: contact your employer and discuss insurance with human resources. They can tell you what is in your plan in regards to breast reduction surgery. If you don't currently have insurance, then you will need to find out this information for whatever company you... more

Derek Lou, MD
Houston Plastic Surgeon

Insurance Coverage of Breast Reduction

Re "I was seeing if anyone knows any insurance company that can cover for a breast reduction" . The vast majority of medical insurance companies cover breast reduction surgery but have different requirements you must meet BEFORE they will agree to partially pay for it (minus your copay and deductible). You must know that many have a pre-existing condition clause, which means you may have to be on the insurance for over a year before they would consider you eligible for this... more

Peter A. Aldea, MD
Memphis Plastic Surgeon