Will Insurance Cover Fixing Asymmetrical Breasts?

Hi I have very uneven breast one is a 40 DD and the other is a about a 36 C I am 23 and i wanted to know if a kentucky medical card would pay for a to have them fixed

Doctor Answers 5

Probably not

You will have to consult your insurance provider to find out if your breast augmentation is covered. However, in general, the answer would be no unless it would resolve a physical impairment directly caused by your asymmetrical breasts, and breast augmentation is proven to be the most suitable treatment for you.

Toronto Plastic Surgeon
5.0 out of 5 stars 176 reviews

Will insurance cover correction of breast asymmetry?

The answer is "it depends". It depends on your insurance plan, the actual asymmetry, and other factors. You should seek a consultation with a participating plastic surgeon and they can request coverage from your insurance company. 

Matthew Schulman, MD
New York Plastic Surgeon
4.9 out of 5 stars 324 reviews

Breast asymmetry and insurance

Without examining you it would be difficult to tell whether or not insurance may cover your reduction for the larger breast.  You should see someone in Kentucky who is on the plan.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Insurance coverage of breast asymmetry

I am not certain about the insurance policies in Kentucky but your best option is to identify a participating surgeon who can perform an examination and submit a letter for predetermination of benefits. In many states, letter review is not available and you must pay prior to the procedure and then discover only after the surgery if the insurance will cover the procedure.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 81 reviews

Insurance coverage of asymmetric breast surgery

Coverage would depend on the language of your plan policy and whether or not the larger breasts is causing symptoms like back and neck pain. Your plan likely has coverage criteria such amount of tissue removed if the larger side is reduced and those would have to be met.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 2 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.