My Dr. Ordered 800 CC/breast. My Insurance Said It Needs to Be 1800. Is That Risky?

1800 seems a little high.  Check back with your plastic surgeon and bring your insurance information to verify the amount.

I think there is some miscommunication. In order to cover breast reduction surgery all insurance companies require medical record documentation of symptoms caused by large breasts like shoulder pain, skin rashes etc and a variable period of a trial of conservative therapy like support bras. Most also require that a specific amount of tissue related to body surface area be removed in order to meet medically necessary non-cosmetic criteria. In your case that would be between 800 and 820cc given your BSA of 2.14. If they are requiring the removal of such a large amount of tissue and you have a letter from them stating so you need to report that company to your state insurance regulatory agency and demand that the case be reviewed by an external reviewer.

Aside from that your BMI is 39.9 and your height weight ratio makes you morbidly obese. You should seriously consider weight loss or weight loss surgery before any body contouring surgery for health and safety reasons and to ensure a safe breast reduction surgery with less chance of complications and a more optimal result.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.