Could my Breast Reduction Be Covered by Insurance?

I am 5'6 and a half. About to be 20 years old. Weight 143 and breast size 34G. I have suffered from back problems sins I was 13. I now am almost crying daily because of the pain. I cant take care of my daughter that well without crying in pain. I hope I.can go to a C or D would they cover tht?

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9 Doctor Answers | Asked by Tinatallahassee

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Some breast reductions are covered by insurance

Many women with very large breasts suffer from neck, shoulder, and back discomfort, and even rashes under the breasts. Some insurance companies will cover this operation depending on symptoms, the size of the breasts compared to the patient's weight, and whether or not the patient has tried any non-operative measures such as physical therapy to help with the pain. Based on the information that you have provided, it is likely that some insurance carriers would cover your operation... more

Breast reduction

Based on the info you provided I am pretty sure it will be covered.You need to see a plastic surgeon for evaluation,have him take photos and submit it to your insurance for prior approval.

Insurance coverage for breast reduction surgery

From your symptoms it would see that you are a good candidate for a breast reduction. Since a breast reduction is performed to relieve physical pain and symptoms it is generally a covered procedure. Next step is to be examined by a plastic surgeon.

Insurance for Breast Reduction

I would first check with your carrier to determine if they cover breast reductions. If they do, you would likely qualify based upon your breast size, symptoms, and BMI.

Could my Breast Reduction Be Covered by Insurance?

The only way to get an answer to your question is to see a plastic surgeon for a consultation and if he feels you meet the physical requirements for a breast reduction, he will submit it to your insurance carrier for their evaluation.

Insurance coverage of Breast Reduction

Many insurance plans will cover breast reductions, particularly for patients with documented symptoms such as you describe. Having said this, they all have varying criteria which must be met to qualify for coverage. These may include the presence of certain symptoms, a minimum amount to be removed, documentation of attempted non-surgical treatment, etc. A qualified Plastic Surgeon should be able to help you to negotiate these issues and obtain any coverage that may apply. Also keep... more

It Depends!

Dear Tina, I would love to give you a simple answer of yes but I can't. Some insurance policies do NOT cover breast reduction, plain and simple, and it is spelled out in the contract. Others require pre-authorization and it is dependent upon a formula called the Schnur Scale. This calculates body surface area based on your height and weight and then gives you an amount in grams that needs to be resected (removed) for insurance to consider covering it. Most... more

Insurance covered breast reduction

Absolutely, this is commonly covered by insurance. The minimum size is DD and you are larger. You should have a great chance to have your breast reduction covered. Find a plastic surgeon and he can due the footwork. see video

Breast reduction

Insurance coverage is becoming tougher and tougher for breast reduction. It can get covered in some cases. Best to see a plastic surgeon and ask you insurance company what their criteria are.