I'm currently 22, 189lbs, 5'4" and wear a size 38G. I have had scoliosis since I was a kid, so I'm no stranger to back pain. I'm wondering if my having scoliosis would factor into my insurance approving a breast reduction?
Answer: Breast reduction Insurance companies consider the following factors when determining whether they will cover breast reduction surgery: physical symptoms such as back and neck pain, photos submitted by your plastic surgeon and the estimated amount of breast tissue which will removed from each breast. They usually require 400 - 500 grams removed from each breast. It is worth mentioning to them that you have scoliosis but the preauthorization will likely be made on the three factors I have just mentioned. Good luck.
Helpful 1 person found this helpful
Answer: Breast reduction Insurance companies consider the following factors when determining whether they will cover breast reduction surgery: physical symptoms such as back and neck pain, photos submitted by your plastic surgeon and the estimated amount of breast tissue which will removed from each breast. They usually require 400 - 500 grams removed from each breast. It is worth mentioning to them that you have scoliosis but the preauthorization will likely be made on the three factors I have just mentioned. Good luck.
Helpful 1 person found this helpful
October 17, 2011
Answer: Breast Reduction Coverage and Scoliosis
Thank you for the question.
The history of scoliosis may or may not help you in your efforts to obtain insurance company authorization for the breast reduction surgery. If, for example, your spine doctor can write a letter stating that the breast reduction surgery may be helpful in alleviating some of your symptoms this may be helpful.
Unfortunately, insurance companies are making patients jump through more and more “hoops” before they authorize breast reduction surgery. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better.
Documentation and letter/pictures from your plastic surgeon as well will help you obtain authorization. Make sure you're working with a well-trained/experienced board-certified plastic surgeon.
Best wishes.
Helpful
October 17, 2011
Answer: Breast Reduction Coverage and Scoliosis
Thank you for the question.
The history of scoliosis may or may not help you in your efforts to obtain insurance company authorization for the breast reduction surgery. If, for example, your spine doctor can write a letter stating that the breast reduction surgery may be helpful in alleviating some of your symptoms this may be helpful.
Unfortunately, insurance companies are making patients jump through more and more “hoops” before they authorize breast reduction surgery. The more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better.
Documentation and letter/pictures from your plastic surgeon as well will help you obtain authorization. Make sure you're working with a well-trained/experienced board-certified plastic surgeon.
Best wishes.
Helpful
November 28, 2016
Answer: Will Having Scoliosis Make Me a Better Candidate for Insurance Helping with Breast Reduction?
The back deformity will not determine whether the insurance with approve the breast reduction. It could even help. Best to see in person a boarded PS in your area to write your insurance company a letter of pre determination of benefits.
Helpful
November 28, 2016
Answer: Will Having Scoliosis Make Me a Better Candidate for Insurance Helping with Breast Reduction?
The back deformity will not determine whether the insurance with approve the breast reduction. It could even help. Best to see in person a boarded PS in your area to write your insurance company a letter of pre determination of benefits.
Helpful
October 18, 2011
Answer: Breast reduction coverage and scoliosis
You have to check with your insurance company regarding coverage for the procedure. Often back issues documented that have not improved with conservative measurres may be an indication to approve the surgery if your breasts are very large.
Helpful
October 18, 2011
Answer: Breast reduction coverage and scoliosis
You have to check with your insurance company regarding coverage for the procedure. Often back issues documented that have not improved with conservative measurres may be an indication to approve the surgery if your breasts are very large.
Helpful
October 17, 2011
Answer: Insurance coverage for breast reduction with scoliosis Yes, If you can establish that the back condition is exacerbated by the size of your breasts. Generally a G cup reduction would be approved and any supporting documentation that your orthopedist could supply would be of assistance in the preauthorization process.
Helpful
October 17, 2011
Answer: Insurance coverage for breast reduction with scoliosis Yes, If you can establish that the back condition is exacerbated by the size of your breasts. Generally a G cup reduction would be approved and any supporting documentation that your orthopedist could supply would be of assistance in the preauthorization process.
Helpful