I went to my family doctor and he passed on a referral.Just waiting to hear back for a consultation date. Do I have a chance of getting my breast reduction covered? i do suffer from back pain, have grooves in my shoulders, constant headaches and they are saggy. Are my breasts "too small" to be covered?
July 21, 2013
Answer: Breast reduction and insurance
Based on your measurements you seem to need, and be a great candidate for a breast reduction. Getting breast reduction covered under insurance is very difficult. In fact getting them to tell you, as the consumer, the number of grams needed to get coverage will be nearly impossible. I suspect in the end it will have to be paid out of pocket. The insurance frequently places the restrictions and makes it difficult without any medical substantiation. I have had many difficulties with my own patients (who truly needed it) getting coverage. The best way to get coverage is to call your insurance company...remember you are the consumer.
Helpful
July 21, 2013
Answer: Breast reduction and insurance
Based on your measurements you seem to need, and be a great candidate for a breast reduction. Getting breast reduction covered under insurance is very difficult. In fact getting them to tell you, as the consumer, the number of grams needed to get coverage will be nearly impossible. I suspect in the end it will have to be paid out of pocket. The insurance frequently places the restrictions and makes it difficult without any medical substantiation. I have had many difficulties with my own patients (who truly needed it) getting coverage. The best way to get coverage is to call your insurance company...remember you are the consumer.
Helpful
September 14, 2012
Answer: Breast reduction
Thank you for the question. Breast reduction is indicated in patients with symptoms similar to the ones you described and having breast hypertrophy. The decision is usually made after taking complete history and doing physical exam. Without examination, it would be difficult to give you an answer.
Helpful
September 14, 2012
Answer: Breast reduction
Thank you for the question. Breast reduction is indicated in patients with symptoms similar to the ones you described and having breast hypertrophy. The decision is usually made after taking complete history and doing physical exam. Without examination, it would be difficult to give you an answer.
Helpful