Will insurance pay for me to reduce my cup size from 38G to a 36D?

Thank you for the question. I'm sorry to hear about the physical and probably psychosocial problems your breasts have caused. Based on your description, you may be an excellent candidate for breast reduction surgery.

 

Breast reduction surgery is one of the most patient pleasing operations we perform. By removing “excess” breast tissue, adipose tissue, and breast skin  this operation reduces and lifts the breasts to a higher position on the chest wall. By doing so, patients often find improvement in neck, back, and shoulder discomfort and find it easier to form their activities of daily living and exercise.

Sometimes breast  reduction surgery is covered through health insurance. The best way to obtain insurance coverage for breast reduction surgery involves some “hoops” to jump through. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure.
This documentation and letter/pictures from your plastic surgeon will help you obtain authorization. 
When the time is right,  seek consultation with well-trained/experienced board-certified plastic surgeons.

Unfortunately,  no plastic surgeon is able to accurately predict what cup size you will end up wearing after breast reduction.  As you know, breast cup size will  different depending on the bra  manufacturer.  Therefore communicating your goals in reference to achieving a certain cup size may be confusing and/or a source of dissatisfaction.
I would suggest that you communicate your goals with your plastic surgeon ( I prefer the use of goal pictures)  and ask him/her to do his/her best to achieve the results you're looking for.




I hope this, and the attached link, helps.

From my experience, you are a great candidate for a breast reduction.  I do not think you will have any issue getting authorized, but as always you do need a bit of a paper trail.  You should find a surgeon, but also you will likely need a letter from your primary care doctor to support the diagnosis and to describe your symptoms. 

You may be a good candidate for a breast reduction.  You will need to be seen by a plastic surgeon and from that medically necessity will be determined.  An alternative is to call your insurance company, ask for a claims rep and find out the exact criteria for your policy for insurance approval for breast reduction.