Will Aetna Insurance Cover my Breast Reduction?

Based upon your description, it sounds like you would be an excellent candidate for breast reduction.  Aetna has specific criteria that need to be met to obtain insurance coverage, based upon your symptoms (back pain, rashes, etc.), how long you have had them, failure of non-surgical treatment and the amount of breast tissue to be removed (based upon your current size and surgical goal).  Aetna's clinical policy bulletin, which explains their exact requirements, is available on their website.  Go to Aetna.com and search for "clinical policy bulletin breast reduction".

I would recommend consultations with board-certified plastic surgeons experienced in breast reduction, who can review the procedure with you including the potential risks and benefits, as well as help you with the process of trying to obtain insurance coverage. 

Good luck.

Based on your description you may be a good candidate for breast reduction surgery; It is one of the most patient pleasing operations we perform.  

As  you think  about  breast reduction surgery make sure you do your homework and understand the potential risks and complications associated with  the procedure.  Unsatisfactory scarring is  one of the potential complications.  

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.  

When dealing with health insurance companies, prepare to be persistent.

Best wishes.