Will MedicAid Cover Reduction of DD Breasts?

I am a 23 year old single mom who suffers from severe back and shoulder pains and horrible posture as a result of my 38DD breasts. Is it possible my MedicAid insurance may cover the procedure?

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7 Doctor Answers | Asked by me01 in brooklyn,ny

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Breast Reduction and Medicaid?

Thank you for the question and picture. Although you may be an excellent candidate for breast reduction surgery I think the biggest challenge you will have is finding a reputable plastic surgeon who works with Medicaid. Best wishes.

Medicaid coverage for breast reduction.

Breast reduction surgery is covered by Medicaid if certain criteria are met, and these criteria must be met completely and exactly or coverage will be denied. First, discuss with your chosen plastic surgeon what the Medicaid criteria for coverage are. These will be listed in your information packet, or will be available if you ask. For Medicaid and most insurance companies, these criteria are now quite similar, and most are based on your height and weight (not just subjective complaints of... more

Breast Reduction Surgery

You should check with medicaid to determine their specific criteria for considering coverage for your breast reduction surgery. Consult with a board certified plastic surgeon to determine if you are a candidate. Best wishes!

Medicaid and breas reduction

Medicaid may ver y well cover your breast reduction surgery provided that you are a good candidate. You can check with them for their criteria.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Medicaid coverage for breast reduction

Our breast reduction patients are some of our happiest patients. They appreciate their new look and literally have had a significant weight taken off their shoulders. As you know, some insurance policies may cover this procedure. However, it depends on the insurance policy and the insurance company. In our practice, we have seen many insurance companies do everything possible to avoid paying for medically necessary procedures such as a breast reduction. If you are not able to have your... more

Insurance coverage for Breast Reduction

Breast reduction is often covered by insurance comapnies. You will need to speak with your insurance representative and find a surgeon that will accept your coverage.

Insurance and breast reduction

You will first need to find a local plastic surgeon that works with your insurance provider and then schedule an appointment. Every carrier is different in what or if they will cover breast reduction surgery and what hoops they want you to jump through first. Often times it will be required that you have a round of conservative treatment such as physical therapy or even a chiropracter. You need you primary care provider to document well what your symptoms are as well. As equally... more