Can I get Michigan Medicaid to accept a Breast Reduction? (photos)

Reducing the size of heavy, large breasts can decrease the pain and discomfort associated with them. There's a good chance that you'll experience relief following surgery if your tension and pain is caused by your breasts. Talk to your surgeon to find out. They can also help you get insurance to cover your surgery.

Hi there. Thanks for your photos and question. Based on your photos and current discomforts, you would be the ideal candidate for a breast reduction covered by insurance. Insurance usually has certain requirements that you have to meet prior to qualifying and can take anywhere from 6 months to 1 year to be approved. I would try to get started to see what requirements you will need to meet. Good luck in your search!

I agree with Dr. Common's comments below.  It is difficult, but not impossible to have a breast reduction covered by Medicaid for well qualified patients.  From your description, you seem like an excellent candidate for breast reduction.  I am currently the plastic surgeon for Alpena Regional Medical Center.  We accept Medicaid.  I think Spectrum in Grand Rapids also accepts Medicaid.  I hope this helps.  

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