Will Blue Cross Blue Shield Cover Breast Reduction?

Thanks for your question!  Every insurance company has their own set of criteria.  I would talk with your PCP to see if they believe it would be covered.  If so, they can refer you to a qualified plastic surgeon in your area for treatment.  Good luck!

Here are the guidelines per blue cross:
BCBS TX
Reduction Mammaplasty for symptomatic breast hypertrophy or hypermastia may be consideredallowable for coverage when there is supporting medical documentation and ALL of the medicalcriteria are met: Records documenting the patient’s significant symptoms that interfere with activities of dailyliving, including but not limited to, the following –• Pain in the upper back, neck, and shoulders which is long-standing duration andincreasing in intensity and is not related to other musculoskeletal causes (e.g., poorposture, acute strains, post traumatic conditions, poor lifting techniques, or other evidenceof over use), AND/OR• Persistent, clinical, non-seasonal sub mammary intertrigo, which is refractory andunresponsive to comprehensive local hygiene and topical anti-infective therapy, AND/OR• Ulnar nerve paresthesia or compression, which results in pain and/or numbness in thearms and/or hands. The patient’s physical exam that documents the following –• Significant shoulder grooving or ulceration of the skin of the shoulder, AND• Obvious breast hypertrophy, AND• Physical exam consistent with symptoms precipitating request for reductionMammaplasty.
Documentation of tried and failed comprehensive conservative measures including –
• A minimum of six (6) weeks of physical therapy for back, neck or shoulder pain including amaintenance home exercise program, AND• Appropriate support bra with weight distributing straps, AND• Anti-inflammatory agents unless medically contraindicated, AND• Symptomatic measures, including application of heat and cold, AND• Appropriate local hygiene and topical pharmacologic treatments for intertrigo. Documentation of patient’s body surface area (BSA), based on the Schnur Sliding Scale(SSS), in which the patient’s breast weight (per breast) is estimated at greater than the 22ndpercentile line (Refer to SSS and calculation of BSA at the end of the Rationale Section)consisting of breast tissue, not fatty tissue to be removed. 
Body Surface Area
(meters squared) :  Minimum weight of tissue to be 
removed per breast (grams)
1.35         :           199
1.40         :           218
1.45         :           238
1.50         :           260
1.55         :           284
1.60         :           310
1.65         :           338
1.70         :           370
1.75         :           404
1.80         :           441
1.85         :           482
1.90         :           527
1.95         :           575
2.00         :           628
2.05         :           687
2.10         :           750
2.15         :           819
2.20         :           895
2.25         :           978
2.30 or greater    :   >= 1000