I would like to get a breast reduction covered by insurance. I wear a 32g or h or 34f or g. Admittedly, they don't look that big. But, they dig into my shoulders, cause back pain and racerback bras cause numbness and tingling in my fingers. I had a consultation and the surgeon said I was a good candidate, but that he worried I'd be unhappy with the size after removing enough to meet insurance requirements. Insurance denied me based on that even though I met all the other requirements.
Answer: Breast tissue Yes, we weigh the amount of tissue we remove in the OR with a scale. The pathologist also weighs the tissue again. The insurance company sees both weights.
Helpful
Answer: Breast tissue Yes, we weigh the amount of tissue we remove in the OR with a scale. The pathologist also weighs the tissue again. The insurance company sees both weights.
Helpful
October 10, 2024
Answer: Breast Reduction Consideration Thank you for the question. Based on what you’re describing, it does sound like your breasts are causing physical symptoms. These are all common reasons why breast reduction surgery may be a good option to relieve your discomfort. But, it's difficult to determine exactly how much tissue would need to be removed without seeing your photos or doing an in-person consultation. However, many insurance companies use the Schnur Sliding Scale as a guideline for how much breast tissue should be removed to help improve your symptoms. This scale correlates your body surface area with the amount of breast tissue that needs to be removed. If insurance denies coverage, you may have the option to appeal, especially if you can further document your symptoms and physical limitations.
Helpful
October 10, 2024
Answer: Breast Reduction Consideration Thank you for the question. Based on what you’re describing, it does sound like your breasts are causing physical symptoms. These are all common reasons why breast reduction surgery may be a good option to relieve your discomfort. But, it's difficult to determine exactly how much tissue would need to be removed without seeing your photos or doing an in-person consultation. However, many insurance companies use the Schnur Sliding Scale as a guideline for how much breast tissue should be removed to help improve your symptoms. This scale correlates your body surface area with the amount of breast tissue that needs to be removed. If insurance denies coverage, you may have the option to appeal, especially if you can further document your symptoms and physical limitations.
Helpful
September 27, 2024
Answer: Is there an objective way to measure the weight of breast tissue? Hi,
Helpful
September 27, 2024
Answer: Is there an objective way to measure the weight of breast tissue? Hi,
Helpful
September 16, 2024
Answer: Breast reduction If you are having issues getting insurance approval for your reduction you may want to look into treatments which could help your symptoms such as physical therapy. If these do not help it may give you more proof to present to your insurance carrier that a reduction is medically necessary. Another option is to explore reduction and pay out of pocket. This way you have more control over what you want in the end and many surgeons can connect you with financing options.
Helpful
September 16, 2024
Answer: Breast reduction If you are having issues getting insurance approval for your reduction you may want to look into treatments which could help your symptoms such as physical therapy. If these do not help it may give you more proof to present to your insurance carrier that a reduction is medically necessary. Another option is to explore reduction and pay out of pocket. This way you have more control over what you want in the end and many surgeons can connect you with financing options.
Helpful
September 17, 2024
Answer: Appealing Insurance Denial: Steps to Secure Coverage for Your Breast Reduction It’s frustrating to face insurance denial despite meeting many of the requirements for coverage. Your symptoms clearly indicate a need for a breast reduction, and it’s important to advocate for yourself throughout this process. Here are some steps you can take:
Helpful
September 17, 2024
Answer: Appealing Insurance Denial: Steps to Secure Coverage for Your Breast Reduction It’s frustrating to face insurance denial despite meeting many of the requirements for coverage. Your symptoms clearly indicate a need for a breast reduction, and it’s important to advocate for yourself throughout this process. Here are some steps you can take:
Helpful
