At size 36 each 200 grams of tissue corresponds to 1 cup size change. To go from a 36 H to a 36 B would require 1200 grams removed per breast. Insurance would probably cover this size reduction. However, that reduction may be inappropriate for you. The goal of breast surgery is to have breasts proportionate to your body size. Excessive reduction will not look proportional to your body and you would be dissatisfied. The most common complaint after breast reduction is over reduction. I recommend a new technique called The Ultimate Breast ReductionTM. This technique reshapes your breast tissue creating upper pole fullness, elevates them higher on the chest wall and more medial to increase your cleavage. At the same time, the size can be reduced proportional to your body, yet eliminate pain. Pain is eliminating by transferring the weight of the breast to the underlying muscle rather than excessive reduction. This technique avoids the ugly vertical scars of the traditional technique, maintains nipple sensation and the ability to breast feed. Best Wishes,Gary Horndeski, M.D.