Why was I denied a breast reduction by Horizon BCBS and what can I do to get them to cover it?

September 28, 2015
Asked By:krivera246 in Carrollton, GA

This year I applied for my insurance to cover my breast reduction. I am a 20 year old female, 4'11", 135lbs and wear a 36G. My breasts themselves are really heavy, visibly uneven and have caused quite the wear on my back. The plastic surgeon I went to recommended that we remove approximately 600-700 grams of tissue from my breasts. All this information was sent to Horizon and they still denied it. Is it worth appealing and if so, what do I need to have them approve it?

Answers (8)

From board-certified doctors and trusted medical professionals
MOST RECENT
November 5, 2018

Answer: Why wasn't my reduction covered?

Ryan Hoffman, MDBoard Certified Plastic Surgeon
MOST RECENT
November 5, 2018

Answer: Why wasn't my reduction covered?

Ryan Hoffman, MDBoard Certified Plastic Surgeon
March 8, 2016

Answer: Insurance and BA

Larry S. Nichter, MD, MS, FACSBoard Certified Plastic Surgeon
March 8, 2016

Answer: Insurance and BA

Larry S. Nichter, MD, MS, FACSBoard Certified Plastic Surgeon
October 1, 2015

Answer: Insurance Breast Reduction

Brian K. Reedy, MDBoard Certified Plastic Surgeon
October 1, 2015

Answer: Insurance Breast Reduction

Brian K. Reedy, MDBoard Certified Plastic Surgeon

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September 30, 2015

Answer: Insurance coverage in breast reduction.

Vincent N. Zubowicz, MDBoard Certified Plastic Surgeon
September 30, 2015

Answer: Insurance coverage in breast reduction.

Vincent N. Zubowicz, MDBoard Certified Plastic Surgeon
November 9, 2015

Answer: When is insurance not insurance?

November 9, 2015

Answer: When is insurance not insurance?

Recommended reading

Breast Reduction

Everything you need to know about Breast Reduction

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