Does Medicaid Cover Breast Reduction?

Im 5"6 190 pds size38 JJ ive tried everything. i lost 40 pds, physical therapy for pain, and they havent went anywhere..im looking for a docter that can help me...im in bad shape.

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3 Doctor Answers | Asked by 38 jj in battle creek,mi

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Medicaid "covering" breast reduction

There is no simple answer to the question of whether Medicaid "covers" breast reduction as the definition of what is "covered" is up to the state and federal government as well as the definition of what constitutes a breast reduction. Medicaid will not tell a physician before the surgery whether the procedure will be covered but expects the physician to perform the procedure and bear all the cost/risks and then submit the bill for reimbursement. Medicaid then decides... more

Breast Reduction - Insurance Coverage

In general, insurance coverage for breast reduction is likely to be obtained as long as enough breast tissue is being removed. That varies from person to person and is a function of your preoperative breast size, height, weight and any mitigating medical and health factors. In your case it seems likely that Medicaid will "cover" the procedure, but the next step is finding a board-certified surgeon you're comfortable with who participates in Medicaid and is therefore... more

Breast Reduction and Medicaid Coverage?

Thank you for the question. Yes, as far as I know, Medicaid does cover breast reduction surgery. You may have to do some searching however to find well qualified experienced board-certified plastic surgeons who work with the Medicaid organization. Best wishes.