I've been suffering for the past year. Bad posture, back pain and uncomfortableness. Excercising and being active is hassle, having to wear two sports bra. I bulge out of every bra I own in the front and finding shirts that fit both my waist and my boobs is hard. I've also had severe pain which has lead to me getting an ultra sound in my breast. They're extremely uncomfortable and restrict from everyday activities.
Answer: Breast reduction coverage Thank you for the question! There are several steps and criteria that you must meet in order for insurance to authorize breast reduction procedures. Given that your insurance does not exclude such a procedure, a reasonable time of conservative treatments must be tried and failed. Symptoms, such as those that you describe, certainly can be attributed to enlarged breasts, and you should discuss such isses with a plastic surgeon to determine if your symptoms match your signs, and begin authorization with insurance. Many insurances also do require photos and a certain weight to be removed in order to meet insurance criteria. Given your photos, although difficult to tell without an examination, appear that you would be borderline. However, a full history and examination by a plastic surgeon would allow him/her to tell you with greater certainty if your case would be deemed reasonable to try to authorize through your insurance. Hope that this helps! Good luck!
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CONTACT NOW Answer: Breast reduction coverage Thank you for the question! There are several steps and criteria that you must meet in order for insurance to authorize breast reduction procedures. Given that your insurance does not exclude such a procedure, a reasonable time of conservative treatments must be tried and failed. Symptoms, such as those that you describe, certainly can be attributed to enlarged breasts, and you should discuss such isses with a plastic surgeon to determine if your symptoms match your signs, and begin authorization with insurance. Many insurances also do require photos and a certain weight to be removed in order to meet insurance criteria. Given your photos, although difficult to tell without an examination, appear that you would be borderline. However, a full history and examination by a plastic surgeon would allow him/her to tell you with greater certainty if your case would be deemed reasonable to try to authorize through your insurance. Hope that this helps! Good luck!
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CONTACT NOW March 18, 2014
Answer: Ultimate Breast Reduction(TM) Insurance companies authorize breast reductions based on 2 criteria. One, you must have symptoms such as neck, back or shoulder pain attributed to large breasts. Second, you must meet a weight removal criteria determined by the insurance company. However, at size 32 each 100 grams of tissue corresponds to 1 cup size change. If they require 500 grams removal, you would go down to a size A and would be dissatisfied. Your other alternative is to pay for it yourself. That way you can achieve the size breasts you desire without undergoing over reduction to satisfy insurance criteria. I recommend a new technique called The Ultimate Breast ReductionTM. This technique avoids the ugly vertical scars of the traditional technique, maintains nipple sensation and the ability to breast feed. Pain is relieved by transferring the weight of the breast to the underlying muscle rather than excessive reduction. Best Wishes,Gary Horndeski, M.D.
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CONTACT NOW March 18, 2014
Answer: Ultimate Breast Reduction(TM) Insurance companies authorize breast reductions based on 2 criteria. One, you must have symptoms such as neck, back or shoulder pain attributed to large breasts. Second, you must meet a weight removal criteria determined by the insurance company. However, at size 32 each 100 grams of tissue corresponds to 1 cup size change. If they require 500 grams removal, you would go down to a size A and would be dissatisfied. Your other alternative is to pay for it yourself. That way you can achieve the size breasts you desire without undergoing over reduction to satisfy insurance criteria. I recommend a new technique called The Ultimate Breast ReductionTM. This technique avoids the ugly vertical scars of the traditional technique, maintains nipple sensation and the ability to breast feed. Pain is relieved by transferring the weight of the breast to the underlying muscle rather than excessive reduction. Best Wishes,Gary Horndeski, M.D.
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March 11, 2014
Answer: I wear a 32ddd. is there a chance insurance will cover a breast reduction? It depends upon what health insurance plan you signed for and that plans restrictions. Best to have a PS send a letter of pre determination for breast reduction coverage..
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Answer: I wear a 32ddd. is there a chance insurance will cover a breast reduction? It depends upon what health insurance plan you signed for and that plans restrictions. Best to have a PS send a letter of pre determination for breast reduction coverage..
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March 10, 2014
Answer: Breast insurance coverage Based on your bra size and the photograph, you are a surgical candidate. However, insurance companies have many hurdles that you will have to leap over---specifically, the conservative medical management rules. You will find these on your insurer's website and will need to have orthopedic evaluation, physical therapy/chiropractic/neurologic evaluations, spinal x-rays, etc. The duration and extent will depend upon the insurance company.
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CONTACT NOW March 10, 2014
Answer: Breast insurance coverage Based on your bra size and the photograph, you are a surgical candidate. However, insurance companies have many hurdles that you will have to leap over---specifically, the conservative medical management rules. You will find these on your insurer's website and will need to have orthopedic evaluation, physical therapy/chiropractic/neurologic evaluations, spinal x-rays, etc. The duration and extent will depend upon the insurance company.
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January 21, 2019
Answer: Breast Reduction and Insurance It is very possible that you would qualify for breast reduction surgery. It will depend on your insurance policy, each insurance company has their own guidelines. You could contact your insurance company yourself and ask what they require, or see a Board Certified Plastic Surgeon who can help you go through the process. Most insurance companies require that the patient needs to have at least 500 grams of breast tissue removed to qualify. That is usually a cup size DD . Also, it is good to have documented what you have tried to relieve your symptoms of pain, such as physical therapy, analgesics, special fitting bras, etc. Your plastic surgeon will know how to help you apply for coverage. Good luck!
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CONTACT NOW January 21, 2019
Answer: Breast Reduction and Insurance It is very possible that you would qualify for breast reduction surgery. It will depend on your insurance policy, each insurance company has their own guidelines. You could contact your insurance company yourself and ask what they require, or see a Board Certified Plastic Surgeon who can help you go through the process. Most insurance companies require that the patient needs to have at least 500 grams of breast tissue removed to qualify. That is usually a cup size DD . Also, it is good to have documented what you have tried to relieve your symptoms of pain, such as physical therapy, analgesics, special fitting bras, etc. Your plastic surgeon will know how to help you apply for coverage. Good luck!
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