Does Medicaid Cover Breast Reduction?

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coverage medicaid

6 Doctor Answers | Asked by 7287anon in north dakota

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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.

Insurance coverage

You should first check with your Medicaid to determine what their cirteria are. Then see a plastic surgeon. You may also need notes from a treting physician for back pain and neck pain.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Mediaid "COVERAGE" of Breast Reduction

Medicaid, the Federally financed insurance net for the Nation's poor and its partially State funded versions (Cal-Aid, Tenn Care etc) were designed as a safety net to pay only for serious medical conditions. It was never meant to compete with or act as comprehensive health care plans (those referred to Res Obama and leading Democrats as "Cadillac" plans). As a rule, all Medicaid plans compensate surgeons extremely poorly and are commonly associated with prolonged... more

Medicaid Coverage of Breast Reduction

Medicaid may cover a breast reduction if certain critera are met--symptoms, failure of conservative therapy, meeting appropriate threshold of tissue removed. The problem is that Medicaid reimbursement is usually rediculously low and you may therefore have trouble finding a plastic surgeon who will accept Medicaid.

Insurance coverage for breast reduction.

Insurance Coverage for Breast Reduction Answer 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... more

Medicaid cover breast reduction

Yes it does but the issues are finding a boarded PS who accepts Medicid. Also a hospital that also participates with Medicaid. Both are difficult to find. Best of Luck From MIAMI Dr. B