I am a 38DDD, Would Insurance Cover Breast Reduction? (Photo)

Thank you for the question and picture.

Based on your description you may be a good candidate for breast reduction surgery; it may be in your best interest to drop weight first (if that is one of your goals). Unfortunately, there is no way of predicting whether a specific insurance company well cover your procedure.
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. Unfortunately, there is no direct correlation between the amount of tissue removed and the ultimate cup size that a patient will wear after breast reduction surgery.

Before undergoing the breast reduction procedure it is very important to communicate your size goals with your surgeon.  In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or “C cup” or "fake looking" means different things to different people and therefore prove unhelpful.
Also, as you know, cup size varies depending on who makes the bra; therefore, discussing desired cup  size may also be inaccurate.

Make sure you're saying a well-trained/experienced board-certified plastic surgeon. Good luck!

You are most likely a candidate for breast reduction surgery due to your breast size and related pain. However, it will depend on the insurance coverage that you have as policies can vary greatly. Most will want to know what you have already tried such as, physical therapy, good support bras, weight loss, etc. See a board certified plastic surgeon for a consultation and your surgeon should be able to help you obtain approval from your insurance company.

If you could lose 10 to 20 pounds it would help in obtaining insurance coverage as to height vs weight ratios. Otherwise yes I believe you could obtain insurance coverage.