I have always been large breasted and have always wanted a reduction. In the past 2 years, I have given birth to two children and breastfed. My youngest is now a year old and my breast have not returned to "normal" size. I am still wearing my maternity, size F bras. My back and neck hurt all day long. As I said earlier, I have always been large breasted. Will insurance allow me to be a size D, or must you go really small? Am I a good candidate for insurance to cover my breast reduction? I am 33 years old, 5'7", and 165 lbs.
September 9, 2011
Answer: Breast reduction insurance coverage
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. Make sure you're saying a well-trained/experienced board-certified plastic surgeon. Good luck!
Helpful
September 9, 2011
Answer: Breast reduction insurance coverage
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. Make sure you're saying a well-trained/experienced board-certified plastic surgeon. Good luck!
Helpful
October 25, 2009
Answer: Medical insurance coverage varies between plans Although you appear to be an excellent candidate for breast reduction, whether your insurance will pay for it depends entirely on your plan. Insurance coverage varies between companies, and even between different plans in the same company. Generally, however, most plans will cover breast reduction if the following criteria exist: 1) Back pain (from breasts being too big) 2) Bra strap grooving on the shoulders. 3) Rash in the lower breast fold that does not respond to medical treatment. 4) Your surgeon believes that a minimum amount of tissue can be removed (usually 500 gms per side, sometime less)
Helpful
October 25, 2009
Answer: Medical insurance coverage varies between plans Although you appear to be an excellent candidate for breast reduction, whether your insurance will pay for it depends entirely on your plan. Insurance coverage varies between companies, and even between different plans in the same company. Generally, however, most plans will cover breast reduction if the following criteria exist: 1) Back pain (from breasts being too big) 2) Bra strap grooving on the shoulders. 3) Rash in the lower breast fold that does not respond to medical treatment. 4) Your surgeon believes that a minimum amount of tissue can be removed (usually 500 gms per side, sometime less)
Helpful