I live in Michigan, I am a 22 mother of rwo kids and ny breasts make me miserable. I am 5'2'' and I am finally getting into fitness, but my breasts make it close to impossible. I can't run like I want, the sports bra rubs against my collar bone and rubs my skin off. My back always hurts, lately it has been harder to breathe. This isn't how my body should be. Could I get Medicaid to accept a breast reduction? It's my only option left! To finally feel comfortable with my own body!
August 13, 2019
Answer: Getting Insurance to possibly cover breast reduction surgery With Michigan Medicaid or other types of insurance you need to follow a strict course of action.!. Write and ask the insurance for specific guidelines they seek or require.2. Get a supportive factual letter from your plastic surgeon.3. Make sure your PS is an ABPS-FACS surgeon.4. Get a supportive factual letter from your family doctor.5. Get a supportive factual letter from you orthopedic surgeon.6. Document neck pain and back pain and obtain xrays or CAT scans.7. Have excellent photos taken including photos of submammary skin irritation.8. Have Physical Therapy and orthopedic documentation of disability of back and of neck.9. Have 2 plastic surgeon opinions.10. Have photos of bra strap shoulder notching.11. Have documentation of your being the correct or at least reasonable weight. Photos help.12 Dermatologist reports of inframammary dermatitis from skin on skin rubbing.13. Have reports of work missed from neck and back disability.14. No one likely will have all of this information available, but please be assurred that the more information you have, the more likely you will be approved. Little information means little likelihood of approval. 15. Have the surgeon supply the operative codes and the nature of the operation he plans.16. Be persistent, be accurate, and be honest. Let your breasts speak for themselves.My Very Best, Dr C
Helpful 2 people found this helpful
August 13, 2019
Answer: Getting Insurance to possibly cover breast reduction surgery With Michigan Medicaid or other types of insurance you need to follow a strict course of action.!. Write and ask the insurance for specific guidelines they seek or require.2. Get a supportive factual letter from your plastic surgeon.3. Make sure your PS is an ABPS-FACS surgeon.4. Get a supportive factual letter from your family doctor.5. Get a supportive factual letter from you orthopedic surgeon.6. Document neck pain and back pain and obtain xrays or CAT scans.7. Have excellent photos taken including photos of submammary skin irritation.8. Have Physical Therapy and orthopedic documentation of disability of back and of neck.9. Have 2 plastic surgeon opinions.10. Have photos of bra strap shoulder notching.11. Have documentation of your being the correct or at least reasonable weight. Photos help.12 Dermatologist reports of inframammary dermatitis from skin on skin rubbing.13. Have reports of work missed from neck and back disability.14. No one likely will have all of this information available, but please be assurred that the more information you have, the more likely you will be approved. Little information means little likelihood of approval. 15. Have the surgeon supply the operative codes and the nature of the operation he plans.16. Be persistent, be accurate, and be honest. Let your breasts speak for themselves.My Very Best, Dr C
Helpful 2 people found this helpful