Does insurance cover symmastia repair if you were born with it, and a breast reduction? I have sharp pains in my shoulders.

Question

it also brings my shoulders down and i cant fix my posture.

Tom J. Pousti, MD · Answer

I am sorry to hear about the problems your disproportionately large breasts have caused.  Breast reduction tends to be one of the most patient pleasing operations we perform.

Best to check directly with your insurance company to see whether breast reduction surgery is a “covered” benefit with your specific policy. Then, given that every insurance company has different “criteria”, best to identify exactly what your specific insurance company considers criteria for approval. Generally, the more documentation you have (for example, from your primary care doctor, physical therapist, chiropractor etc.) the better when it comes to obtaining insurance “authorization” for the procedure. 
This documentation and letter/pictures from your plastic surgeon will help you obtain authorization.

Best wishes with your breast reduction procedure; hopefully you will be very pleased with the outcome of the procedure performed.

Adam Tattelbaum, MD · Answer

Many plans no longer cover breast reduction surgery. Some may, but will require a detailed medical justification for it. It is best to check with your insurance plan and find out the coverage your policy has.Synmastia may or may not be helped depending upon your anatomy-- only an in person consultation and examination by your surgeon could guide you.Best wishes.

Steven Wallach, MD · Answer

Insurance at this ppint doesn't always cover breast reduction surgery where in my opinion it should. So I doubt symmastia will be covered.

Does insurance cover symmastia repair if you were born with it, and a breast reduction? I have sharp pains in my shoulders.

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Does insurance cover symmastia repair if you were born with it, and a breast reduction? I have sharp pains in my shoulders.

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Everything you need to know about Breast Reduction

Our mission is to create a world where every investment in modern beauty is Worth It.