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Medicaid Coverage for Breast Reduction of a C and Dd Cup Breasts?

asked 2 years ago by Katie826 in Indiana
Latest answer by Tom J. Pousti, MD
Question viewed 5,359 times
Tags: breasts, female, asymmetry, breast feeding, breast size, C cup, DD cup, insurance, pain, pregnancy, uneven

My right breast is DD and my left a C. I've struggled with this for 8 years. Doctors said they would catch up around when I turned 18 but they didn't and when I got pregnant the difference got worse; with the milk and then when it went away.

And now I'm having back pain, shoulder blade pain, and neck pain, and my skin underneath is off and on irritated, dry, peeling and theres red lines sometimes. And my sleeping is affected. I'm in desperate need of a Breast Reduction. But I don't know what to do with my insurance.

4 answers to Medicaid Coverage for Breast Reduction of a C and Dd Cup Breasts?

+2

Insurance coverage for breast lift or breast reduction.

Insurance Coverage for Breast Reduction Answer by George J. Beraka, MDManhattan Plastic Surgeon80% 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... more
George J. Beraka, MD

Manhattan Plastic Surgeon
+1

Breast Reduction and Medicaid?

Thank you for the question. Medicaid has been known to cover breast reduction surgery. For multiple reasons, most plastic surgeons that I know of to not work with Medicaid. I think finding a reputable plastic surgeon who will work with Medicaid will be the challenge you will face. Best wishes.
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Breast reduction

Each insurance carrier has different criteria for pre-approval of a breast reduction. You should check with your insurance carrier.  
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Medicaid Breast Reduction

Medicaid will likely cover the procedure. Your problem may be finding a surgeon who will be willing to accept this as payment in full. It is quite difficult for surgeons to cover the costs of running their practice when reimbursed at these low rates.
Otto Joseph Placik, MD

Chicago Plastic Surgeon

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