What are my chances of getting insurance for breast reduction after heart transplant?

Question

I’m hoping to get a breast reduction but I’m not sure where to start. I’m currently a 36G and would like to be a 36D. I had a heart transplant when I was 14 though and it has affected the breast shape. I also suffer from constant shoulder pain and did rehab with no lasting relief. What are my chances of insurance covering the procedure? Or are there payment plan’s available? What are my options or steps I should be taking? Any help is appreciated! Thank you!

Daniel Barrett, MD · Answer

Dear Honest202140,
breast reduction is best suited for women who wish to decrease the size of their breasts. While there are different techniques used to perform this surgery, I prefer the vertical incision (lollipop pattern) breast reduction technique instead of the anchor scar pattern, which reduces more noticeable scarring than usual. I also use a SAFE liposuction technique to reduce additional fat around the stubborn axilla area and bra line. This way, my patients are achieving beautiful results with minimal incisions which reduces downtime and delivers an overall better breast shape long term.If you are considering breast reduction surgery, you should consult with a board certified plastic surgeon to discuss your options and make sure your surgeon understands your goals. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Camille Cash, MD · Answer

You will want to speak with your insurance carrier to see if breast reduction is a covered benefit.  If it is there are various criteria that must be met for coverage to be approved.  These will vary by policy.  Some of the criteria often include a minimum amount of tissue removed, symptoms related to large breasts as well as interventions attempted to improve these symptoms.  You will also need to speak with your specialist to determine if you are a candidate due to your medical history.

Connie Hiers, MD, FACS · Answer

First, call your insurance company and see what they require for coverage. Second, go to your primary care physician and ask for treatment for neck and shoulder discomfort. Many companies want 3 months of conservative treatment before approving the reduction. If you are overweight, try to loose some. Third, make an appointment with a board-certified plastic surgeon and discuss you concerns and options. You may also need a cardiac medical clearance for surgery.

What are my chances of getting insurance for breast reduction after heart transplant?

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What are my chances of getting insurance for breast reduction after heart transplant?

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Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.