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Will Medicare Cover the Whole Cost of Breast Reduction for a Woman with Size G Breasts?

asked 1 year ago by borntimes2 in Missoula, MT
Latest answer by Tom J. Pousti, MD
Question viewed 573 times
Tags: age 25-34, G cup, medicare

Hello, I am a 29 year old with medicare. I have disability and that is why I am covered by it. I have size G breasts that cause me a lot of issues. (Rashes/acne, back and neck problems and shoulder/posture problems-pain) I was wondering if medicare would cover a breast reduction for me and if there would be remaining costs. How does the surgery work as far as payment? Do I pay first then possibly get reimbursed? How much is the surgery on average? How do I go about asking and getting it? Thanks

4 answers to Will Medicare Cover the Whole Cost of Breast Reduction for a Woman with Size G Breasts?

+1

Breast Reduction and Insurance Coverage?

Thank you for the question and congratulations on your decision to proceed with breast reduction surgery. It is one of the most patient pleasing operations we perform. Based on your description you may be a good candidate for breast reduction surgery. 
The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.)... more
Tom J. Pousti, MD

San Diego Plastic Surgeon
+1

Will insurance cover a breast reduction

You should consult with a board certified plastic surgeon who can submit the appropriate authorization and photos needed to get approved. There is no guarantee that your case will be accepted, as this depends on your individual case (your size and your symptoms). Medicare reimbursement is not very good for plastic surgeons so it may be difficult to find a surgeon in network. Meet with a few plastic surgeons before you commit to surgery. Best wishes, Dr.Bruno
William Bruno, MD

Beverly Hills Plastic Surgeon
+1

Breast Reduction and Medicare

It would be hard to find a surgeon that would accept Medicare for a breast reduction surgery because Medicare's reimbursement is very low. You might try a teaching hospital that has a residency program in your state, sometimes they will do surgery at a reduced price or perhaps they might even accept Medicare. If you find a surgeon that will accept Medicare, usually  they will bill Medicare first after you have paid any deductible or co-payment that is due. Medicare usually only... more
Miguel Delgado, Jr., MD

San Francisco Plastic Surgeon

www.dr-delgado.com

+1

Breast reduction and medicare payment

Depending on the individual case -size and weight of the breasts, amount to be removed, medicare may cover their portion of the sugical costs.  However, not all plastic surgeons accept medicare payments.  Most physicians' offices will let you know prior to the surgery what your costs will be.  Please check with your local plastic surgeon to find out what their payment policy is.
Vincent D. Lepore, MD

San Jose Plastic Surgeon

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