Will my priority health Medicaid cover a breast reduction? (Photo)

Question

I'm 32 5"6 300 ibs. I always had large breasts since I was a teenager. Now my breasts are 46DD possibly bigger because I can't find a bra that fits. My right shoulder on the bra line is turning black and blue from the stain on my shoulder. I have back problems. It's hard to get out of bed with my back stiff. I can't fit in some clothes or coats because there in the way. Will my priority health Medicaid insurance cover for a breast reduction from size 46DD to C cup?

Gary M. Horndeski, MD · Answer

Thank you for you question and photo,            
The Bellesoma Method is a current technique to lift and/or reduce breasts without using implants or the ugly vertical scars.  The incisions are hidden around the areola and in the inframammary crease. The vertical incision has been completely eliminated. The areola incision heals almost invisibly due to the fact that there is hardly any tension on the closure. With this particular technique, ducts are preserved along with nerve supply maintaining nipple sensation and the ability to breast feed. Because the breast is reshaped internally and is secured to your chest muscles, upper pole fullness is possible without an implant. Attached is a patient who underwent The Bellesoma Method. Please note that her tissue was used to create upper pole fullness and cleavage without any foreign materials (mesh, implants, etc).  Unfortunately, we do not accept insurance for breast reductions.  Dr. Horndeski does not remove enough breast tissue to meet insurance criteria.  Instead, he utilizes the breast tissue to reshape the breast.  It is a proprietary technique that only surgeons that have been trained by me can perform. I hope this helps. 
Best wishes and kind regards, 
Dr. Gary Horndeski

Robert Oliver Jr., MD · Answer

Generally speaking, Medicaid will not cover most breast reductions. That being said, with your current significant obesity, the appropriate first step in treatment would be to consider bariatric surgery rather then breast reduction anyways.

Will my priority health Medicaid cover a breast reduction? (Photo)

Answers (2)

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