Steps to Breast Reduction Approval from Insurance UHC Choice Plus?

I'm 18, 5'2 & 180lbs. My breasts are 36in G/H cup. I have grooves in my shoulders, numbness in my arms and back, persistent neck pain, and headaches. They hinder my activities and cause problems in my daily life. I can't afford the high cost of the surgery so I need to be approved by the insurance. I need to know the steps to be approved. The pain is steadily getting worse and the longer I have large breasts my back gets worse. Will it be considered a preventative surgery? Thanks fo any help!

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3 Doctor Answers | Asked by Sarah in Oklahoma in Ardmore, OK

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Breast Reduction and Insurance Coverage?

Based on your description you may be a good candidate for breast reduction surgery; It is one of the most patient pleasing operations we perform. If you are not at your long-term stable weight, it will be in your best interest to drop weight prior to surgery. As you think about breast reduction surgery make sure you do your homework and understand the potential risks and complications associated with the procedure. Unsatisfactory scarring is one of the... more

Breast reduction and insurance

Each insurance company handles approvals for breast reduction differently. Your surgeon's office may help you facilitate this. If you want to explore this on your own, you can call your insurance company and find out their requirements for approval.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Breast Reduction Insurance Coverage

First of all, beware that some insurance policies have outright exclusions for coverage of breast reductions. Others vary in the things you need to do for coverage. Many require failure of chiropractics, PT, etc. in relieving symptoms. All require certain weights of tissue to be removed proportional to your BSA.