Would my American Blue Cross Blue Shield Student Insurance Cover my Breast Reduction Were I to Need One?

I'm just about exactly 5 feet tall, I weigh 154lbs and when I entered my measurements onto a breast sizing generator, it told me I'm a 34 J. I don't understand if that could be true or not, but I kind of believe it now because I can never find any bras that fit and have to resort to wearing 6 bras at a time, which get tighter the more I wear. I went through physical therapy because of my back pain and headaches. Please help! This is my biggest problem.

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5 Doctor Answers | Asked by AngelRae

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Breast reduction coverage

It would help to see photos to get a better idea. Most insurance companies have specific criteria regarding coverage, although at times it may seem arbitrary. Go for a consult with a plastic surgeon and call your insurance company to find out what their criteria are.

Insurance coverage for breast reduction

Insurance companies vary in what they cover and even individual policies within the same company can vary in coverage. So the only way to know is to ask your insurance company. Usually the best way to do this is to have a consultation with a plastic surgeon certified by the American Board of Plastic Surgery who will be able to write a letter to your insurance company to pre-authorize the procedure. And good luck to you. This is one of the procedures that makes the most difference in our... more

Breast Reduction and Insurance Coverage?

Based on your description you may be a good candidate for breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform. 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.) the better when it comes to obtaining insurance “authorization” for the procedure... more

Your insurance question MUST be answered by them

No plastic surgeon can guarantee what your insurance will or will not cover. Many a patient has been "burned" by making an inaccurate assumption. The safest thing to do is contact your insurance carrier and check with them. Get names and keep good records. Once you have your answer, then you can communicate with your plastic surgeon. Remember, the happiest patients that come through a plastic surgeon's door are patients undergoing breast reduction:) Good luck! more

Insurance for Breast Reduction

Each insurance contract is different so we can't give a blanket statement on this. The best thing to do is see an experienced board certified plastic surgeon for a consultation and exam and his office will be able to submit the results of the exam to your insurance compan to see if you would be covered.