Will my Insurance Cover my Breast Reduction? 240lb, I Cup

asked 9 months ago by BeckyRogers0418 in Chattanooga, TN
Latest answer by George J. Beraka, MD
Question viewed 154 times
Tags: 230-249 lbs, coverage, I cup, insurance, neck pain

I am 21. I am currently in an I cup and I want to get a breast reduction. I weigh 240, will my insurance (Cigna) cover a breast reduction for me. They hurt my back, bras are really uncomfortable and they just get in the way.

5 answers to Will my Insurance Cover my Breast Reduction? 240lb, I Cup

Your breast reduction will almost certainly be covered by your insurance.

Insurance Coverage for Breast Reduction Article by George J. Beraka, MD Manhattan Plastic Surgeon 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... more

George J. Beraka, MD
Manhattan Plastic Surgeon

Criteria to meet for insurance to approve a breast reduction

Dear Becky, I usually recommend that patients desiring breast reduction covered by insurance provide as much documentation from other physicians to help their case. This would be documentation from your primary physician, chiropractor, orthopedic surgeon, spine surgeon, etc. The more 'proof' you provide that a reduction is medically necessary the more likely your insurance will approve the procedure. Symptoms that insurance carriers are looking for: back/neck pain, reduced... more

Gary M. Horndeski, MD
Houston Plastic Surgeon

www.horndeski.com

Insurance coverage for breast reduction

Dear Becky, Every insurance company is different and some have policies that exclude breast reduction surgery. For that reason you must first review your policy to see if breast reduction is covered. Once you have determined that it is possible to have coverage for breast reduction you will need to see a plastic surgeon for a comprehensive consultation. Insurance companies now bse coverage upon something called the Schnur Scale. This takes into account your... more

Steven Schuster, MD
Boca Raton Plastic Surgeon

www.schusterplasticsurgery.com

Breast Reduction Criteria

Health insurance carriers each have their own crieria in terms of weight and symptoms that their insured patients much demonstrate in order to qualify for a breast reduction. Your best course of action is to consult with a board certified plastic surgeon. During your consultation, you'll need to provide such information as your current weight, your bra size, if you are currently experience any local infection or breast pain, shoulder grooving, patterns of weight loss and how they affect... more

Jeffrey D. Hoefflin, MD
Los Angeles Plastic Surgeon

Breast Reduction covered by insurance?

Each insurance is different with what they "authorize" but when you visit a surgeon, they can take photos and document your back pain and write a letter asking for authorization to perform surgery. I suggest to my patients to bring in any documentation from other doctors, chiropractors, etc that can document what you are experiencing due to the large breasts. I always send photos and a letter to the insurance company to get authorization. I hope they help you -... more

Tom J. Pousti, MD
San Diego Plastic Surgeon

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