Breast Reduction Requirements in British Columbia?

Thank you for your question.  In BC the requirements are for symptomatic hypertrophy as quoted below directly from the current Medical Services Plan guidelines:
"Reduction Mammoplasty is a benefit for female patients only, where there is significant associated symptomatology such as intertrigo, neck or back pain or shoulder grooving. Ptosis and/or size are not sufficient grounds for MSP coverage of reduction mammoplasty. Mastopexy is not normally covered by MSP. "
Since you have pain and grooving, you are a candidate.  Pre-approval from the government is not required anymore.  Because the criteria are subjective, there is an agreed minimum weight removal of around 270 gm per side (1 cup) in order to prevent the equivalent of a breast lift (without significant reduction for symptom control) being done at public expense.  Again - because you wish to go down 1-2 cups in size, you qualify for the surgery under the Medical Services Plan.

Honestly, I don't know if the rules in BC are the same as the states. Here, only certain insurance companies will cover the procedure and only if certain criteria are met -- usually having to do with the amount of tissue removed. When you have your consultation, your surgeon should have a better idea of the rules/restrictions in Canada. Best, Dr. Nazarian

There are some excellent plastic surgeons in BC that can answer this question for you. In the US, our insurance companies typically adhere to resection weight guidelines that are based on a patient's height and weight - the so called 'Schnur Table' is often cited by insurance company coverage guidelines as a rule of thumb for PER BREAST resection requirements.