Is there any surgeons that can help with getting a authorisation from insurance for a reduction surgery?

Hello im a 34 yr old with heavy breasts. i am a size 38f and i have rashes strap indentations back neck and shoulder pain and i honestly can't take it anymore.i currently live in deland florida and I'm looking for help because currently i am unemployed with no insurance.

Doctor Answers 2

Breast reduction

As I read this, you are uninsured and unemployed. You may want to check on your state's Affordable Care Act exchange to see if you qualify for coverage.

Is there any surgeons that can help with getting a authorisation from insurance for a reduction surgery?

Thank you for the question and congratulations on your decision to proceed with breast reduction surgery; this operation tends to be one of the most patient pleasing operations we perform. Based on your description, it sounds like you may be an excellent candidate for the procedure.  

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. Also, for many insurance companies, the closer you are to your long-term ideal weight, the better.

This documentation and letter/pictures from your plastic surgeon will help you obtain authorization. Keep in mind, as you work towards your goals breast reduction surgery is one of the most patient pleasing operations we perform. 

Also, prepare to be persistent when dealing with health insurance companies. 


  I would suggest starting with the American Society of Plastic Surgery and/or the Aesthetic Society of Plastic Surgery to obtain a list of well experienced board-certified plastic surgeons.Then, I would suggest you visit a few surgeons whose practices concentrate on aesthetic surgery. 

***Ask to see lots of examples of their work and preferably speak/see patients who have had similar procedures done. Basically, patients should look at the overall "quality" of the outcomes achieved;  in other words, it will be important that patients see lots of examples of outcomes that they would be pleased with.  In doing so patients will be able to get an idea of each  plastic surgeon's "aesthetic sensibilities". Of course, careful evaluation of the photographs (including factors such as time out of surgery and initial anatomic starting point) will be important as patients evaluate before/after photographs.

Be very careful with your decision-making. You will find, while doing your due diligence, that there are many different “specialties” who will offer their services to you; again, I strongly recommend you concentrate on surgeons certified by the American Board of Plastic Surgery.


I hope this, and the attached link (dedicated to breast reduction surgery concerns), helps. Best wishes.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.