Breast Reduction: Q&A

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Will Medicaid Cover a Breast Reduction in Illinois?

I am 21 years old I have always had big breasts but after having my son in 2008 they went from a E cup to a 48 L and continues to go up, I have tried to lose weight and my breasts always stay the same, I also have chest and back pains. Will they cover it based on everything I am posting here.

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age 18-24 back pain costs medicaid
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5 Doctor Answers | Asked by itsme21 in Chicago, IL
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Breast Reduction?

Thank you for the question. It sounds like you are dealing with breast hypertrophy along with the physical and psychosocial consequences of this diagnosis. In other words, the breasts are too large for the frame causing both physical and psychological distress. 
I would suggest you do your homework and understand the potential risk and complications associated with breast reduction surgery, including abnormal scarring. You also understand that further surgery may... more
+1

Breast Reduction and Insurance Coverage

Dear itsme21, Yikes! I think anyone would agree that that's pretty large! Insurance coverage for breast reduction varies widely from plan to plan but, in general, the larger you are (relative to your overall body size, or body mass index) the more likely they are to be willing to cover it (ie, pay for it). That's the good news. The bad news is that you now have to find a surgeon who would be willing to accept the insurance payment as an adequate payment... more
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Medicaid in Illinois and breast reduction

Illinois Medicaid does not pre-approve breast reduction and may not pay after surgery. So many patients in this situation discuss a self pay option for this procedure.

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+1

Breast reduction coverage

Every insurance company is a bit different with regards to coverage for a breast reduction. You should contact your insurance company to find out their criteria.
+1

Medicaid coverage of breast reduction

IT sounds as if you are a good candidate. The next problem is finding a physician willing to accept these rates as payment in full. You may want to contact one of the university programs for this.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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